Adult Family Care


Application for Caregiver  • Fire Drill Record • Caregiver Log


What is AFC?

Adult Family Care (AFC), also called Adult Foster Care, is a program for frail elderly adults and adults with disabilities who cannot live alone safely.

AFC adults live with trained paid caregivers who provide daily care. Caregivers may be family members (except legally responsible relatives), or non-family members.

The program is for adults who need daily help with personal care, but want to live in a home setting rather than in a nursing home or other residential facility. The caregiver provides meals, companionship, personal care and assistance, and 24-hour supervision. Caregivers may be individuals, couples, or larger families. Caregivers receive a daily stipend from The Arc of Greater Plymouth through MassHealth to provide care to MassHealth members who otherwise would need institutional care. Service providers, including a care manager and registered nurse, train the caregiver and provide ongoing support and case management.

Who is Eligible?

  •  You must be 16 years of age or older.
  •  You must be unable to live alone because of a medical, physical, cognitive or mental condition.
  •  You must need daily assistance with one or more activities of daily living (ADL’s).
  •  You cannot require full-time skilled nursing care.
  •  You must be willing to live with your caregiver.
  •  You must be eligible for MassHealth or able to pay privately.
  •  Your caregiver cannot be your spouse or another relative legally responsible for you (Note: For a minor child, the caregiver cannot be a parent).
  •  You must be approved for Adult Family Care by a physician and an Aging Services Access Point (ASAP).

Who can be a caregiver?

Caregivers can be a non-custodial parent, a family member or a non-family member. However, caregivers cannot be spouses, parents of minor children, or legally responsible relatives.
Caregivers must be approved by the program (interview, references, agency background checks, CORI check and eligable to provide 24-hour supervision). A caregiver’s responsibilities may include:

  •  Prepare meals and snacks
  •  Assist with personal care
  •  Provide behavioral interventions as needed
  •  Provide medication reminders and assistance
  •  Do shopping, laundry, and housekeeping
  •  Provide transportation to medical appointments and social visits
  •  Maintain a clean, safe living space
  •  Keep a caregiver log

For more information on the Adult Family Care program please contact Director Mimi McCarthy at 508 732-9292 ext 136 or