Adult Family Care

Individuals with a variety of different medical diagnoses can need help with activities of daily living that make them unable to live alone. They may still want and be able to live independently with the help of a live-in caregiver.


The Adult Family Care (AFC) Program (also known as Adult Foster Care Program) is an option for people age 16 and older who due to medical, physical, cognitive or psychiatric problems cannot live alone. In the Adult Family Care Program, an individual lives with a caregiver who receives a daily stipend for the assistance s/he provides with activities such as bathing and dressing, laundry and grocery shopping. The caregiver can be any family member (except a spouse, your parent if you are a minor, or other legally responsible relative), or someone that either you or Springwell recruits.


MassHealth programs can be confusing, with complicated eligibility criteria. Springwell’s expertise is in understanding and helping you sort out the questions and the paperwork involved in applying for this program. Springwell has a dedicated AFC Care Advisor and a registered nurse to provide support, education, and case management to the individual receiving care, monitor the care provided and provide training to the caregiver. Our staff understand the needs of care recipients, the requirements for caregivers, and the regulations of the program.

Eligibility Requirements

  • 16 years of age or older, and
  • Enrolled in MassHealth Standard or CommonHealth, and
  • Have a chronic disabling condition or disability, and
  • Require daily assistance, cueing, or supervision, with at least one activity such as eating, dressing, bathing, transferring, ambulation, and toileting, and
  • Written authorization from a physician
  • The caregiver is required to submit to a background check and have his or her physician complete a referral for enrollment in the program.

Service Details

Eligibility details, Care Provider and Care Provider Home requirements, a Program support outline, and Reimbursement details for the Adult Family Care Program are provided here for your information. A dedicated Springwell AFC Care Advisor can also help you sort through these details.

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Rosie and Tanya have participated in the Adult Family Care Program and it has changed their lives.

Contact Us

Interested in the AFC program? Call Springwell at (617) 926-4100 Monday through Friday, 9:00 a.m. – 5:00 p.m. and request the Information and Consultation Department, send an email to, or fill out and submit this contact form.

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