Group Adult Foster Care in Massachusetts

Gifted Hands Home Care provides Group Adult Foster Care (GAFC) services to help eligible individuals receive consistent daily support at home, improving safety, comfort, and independence.

See If You Qualify

Takes less than 2 minutes. No commitment.

You may qualify!

To help us understand your situation better, please speak with our team.

Free eligibility review · DSS-Authorized Provider

MassHealth-Funded at No Cost

GAFC is fully funded through MassHealth with no out-of-pocket cost to qualifying families. Gifted Hands handles enrollment from start to finish.

Nurse and Care Manager Oversight

A registered nurse and care manager conduct regular visits to review each member's care plan, monitor health, and adjust support as needs evolve.

Full Enrollment Support

We guide you through every document and requirement so nothing stalls the process, including MassHealth enrollment if you are not yet covered.

When You Need More Structure and Ongoing Assistance

When You Need More Structure and Ongoing Assistance

Group Adult Foster Care in Massachusetts is a MassHealth-funded program that helps adults who need daily support receive personal care, supervision, and case management at home. Gifted Hands Homecare is a licensed GAFC provider in Massachusetts, helping families access and navigate the program from start to finish.

Program Overview

What Is Group Adult Foster Care (GAFC) in Massachusetts?

Group Adult Foster Care in Massachusetts is a MassHealth program that connects adults who need daily assistance with trained caregivers to receive personal care and support at home. It supports adults 22 and older, including people living with physical disabilities, cognitive impairments, or chronic conditions that affect their ability to manage daily life independently.

The program works through three connected pieces. MassHealth funds it. Licensed GAFC providers coordinate and deliver the care. And members can receive care at home through MassHealth-approved support.

Daily Support

What Services Does GAFC Cover?

GAFC covers two categories of daily support. A trained direct care aide provides one hour of hands-on support each day. The program also includes nursing oversight and case management, with a registered nurse and care manager conducting regular visits to review each member’s care plan, monitor health, and adjust support as needs evolve.

MA Requirements

GAFC Eligibility Requirements in Massachusetts

To qualify for Group Adult Foster Care in Massachusetts, a person must meet the following criteria. Clinical eligibility is not self-reported — a licensed clinician completes a functional needs assessment to determine whether the level of need meets MassHealth’s criteria.

 

Eligibility Requirements

Not yet enrolled in MassHealth? Our team can help you with that as part of the process.

4 Steps to Care

How to Apply for GAFC in Massachusetts

Getting started is simpler than most families expect. Here is how the process works from first contact to first day of care.

01

Contact Gifted Hands Homecare

Reach out and we will answer your questions and confirm whether GAFC is the right fit for your situation. No paperwork yet, just a conversation.

02

Determine Eligibility

We review the basic requirements to confirm you qualify before moving forward. If you are not yet enrolled in MassHealth, we help with that too.

03

Clinical Assessment

A licensed clinician completes a functional needs assessment to confirm eligibility based on ADL need. Primary care physician approval is also required. We will contact the physician for approval.

04

Admission and Start of Care

Once approved, a registered nurse and case manager conduct an admission visit, your care plan is established, and daily services begin.

Not yet enrolled in Masshealth? We will help with that too.

Ready to Get Started with GAFC?

Free eligibility review. No commitment. We handle everything from here.

Why Gifted Hands

Why Families in Massachusetts Choose Gifted Hands Homecare for GAFC

Navigating a MassHealth program for the first time has a lot of moving parts, and most families are figuring it out while already stretched thin. Here is what working with us looks like.

From your first conversation with us to long after care begins, we are with you every step of the way.

Testimonials

What Families Are Saying

Families across Connecticut trust Gifted Hands Homecare to guide them through the process with compassion, clarity, and consistent support.

FAQs

Frequently Asked Questions About GAFC in Massachusetts

Have questions about eligibility or getting started? Here are the answers to the most common questions families ask when calling Gifted Hands.

What is the difference better GAFC and AFC?
GAFC supports adults who need daily hands-on support through trained direct care aides covered by MassHealth. AFC is a live-in program where a caregiver, often a family member, lives with the person receiving care in a private home and receives a monthly stipend. The two programs are distinct and cannot be combined.
 
 
In some cases, yes. A trained family member may serve as a direct care aide under GAFC and be compensated hourly through the licensed provider. However, this is different from AFC, where a live-in family caregiver receives a monthly stipend.
 
Yes. Because GAFC is funded through MassHealth, financial eligibility applies. Income and asset limits are set by MassHealth and reviewed annually. If you are unsure whether you qualify financially, we can help you assess your situation before starting the application process.
GAFC cannot be combined with other MassHealth programs that provide the same type of personal care services, such as Adult Foster Care (AFC), Personal Care Attendant (PCA), or Home Health Aide services. However, GAFC can still be coordinated with other healthcare services like nursing care, therapy, or behavioral health support when appropriate.
Yes, active MassHealth enrollment is required. If you are not yet covered, we help with that as part of our enrollment process.
 

Ready to Get Started with GAFC?

Every family’s situation is different. Reach out and we will figure out the right path forward together.