Gifted Hands Home Care helps eligible individuals receive daily personal care support through the Adult Foster Care (AFC) program in
Massachusetts, so they can remain safe, comfortable, and supported at home.
Caring for a loved one at home is one of the most demanding things a family can take on, and it should not mean doing it without support.
The MassHealth Adult Foster Care program helps Massachusetts families provide safe, compassionate care at home while ensuring the caregiver receives the guidance, resources, and financial support they need. In many cases, a family member or close friend can qualify as a paid caregiver and receive up to $1,500 per month.
At Gifted Hands Homecare, we walk you through every step from eligibility to enrollment and beyond.
The MassHealth Adult Foster Care program is a Massachusetts state-funded program that allows adults who need daily support to receive personalized care at home rather than moving into a nursing facility. The caregiver and care recipient share a home, and the state pays the caregiver for the around-the-clock personal care and support they provide.
Also known as the Adult Family Care Massachusetts program, AFC is funded entirely through MassHealth at no out-of-pocket cost to qualifying families. Each care plan is developed with input from a professional team including registered nurses and case managers, ensuring the care recipient’s needs are met while reducing the caregiver’s stress.
For many Massachusetts families, AFC makes it possible to keep a loved one safely at home with someone they already know and trust while receiving structured, professional support every step of the way.
AFC eligibility in Massachusetts is straightforward for most families. Here is what each person needs to qualify.
Not sure if your situation qualifies? We will walk you through it at no cost.
The AFC caregiver stipend in Massachusetts is determined by the level of care your loved one needs, assessed by a registered nurse before enrollment begins.
Level 1
Up to $800/month
For individuals who need reminders, cueing, or hands-on help
with one to two daily activities like bathing, dressing, or mobility. The care need is consistent but the physical demands are moderate.
Level 2
Up to $1,500/month
For individuals who need intensive hands-on assistance with three or more daily activities, or two activities combined with behavioral support such as managing memory-related conditions or cognitive challenges. .
Your loved one’s level is determined through a clinical assessment, not self-reported. Our team will walk you through what to expect before the process begins.
AFC caregivers are not visiting professionals who come and go on a schedule. They live with the person they care for, providing consistent, around the clock support as part of daily home life. It is a full-time commitment rooted in relationship, not a clinical arrangement and for many families, that is exactly what makes it work.
Day to day, an AFC caregiver typically helps with:
Getting started is simpler than most families expect. Here is how the process works from first contact to first day of care.
Reach out and we will answer your questions and confirm whether AFC is the right fit for your family. No paperwork yet, just a conversation.
We review the basic requirements for both the person receiving care and the caregiver to confirm you qualify before moving forward.
A registered nurse visits the home to evaluate your loved one's daily needs and determine whether Level 1 or Level 2 care applies.
The caregiver completes the necessary background screening and training requirements.
Once approved, the caregiver begins providing care and receiving their monthly stipend.
Families across Massachusetts trust Gifted Hands Homecare to guide them through the
process with compassion, clarity, and consistent support.
Enrolling in AFC involves more steps than most families expect. Our job is to make sure none of those steps feel confusing, rushed, or lonely.
From your first conversation with us to long after care begins, we are with you every step of the way.
Have questions about eligibility or getting started? Here are the answers to the most common questions families ask when calling Gifted Hands.
Your loved one deserves to be cared for by someone who already knows them, loves them, and shows up every single day. That kind of care should not go unsupported.
Let us help you make it official.
