Adult Family Care

The Adult Family Care Program supports families with managing the daily living needs that individuals (18 or over) with developmental disabilities require to live in the community. Families received supports from a multidisciplinary team that includes a registered nurse and a care manager. 


  • Build collaborative partnerships with families, friends, and communities
  • Ensure a continuum of person-centered supports and choices
  • Advocate for the protection of human and civil rights
  • Develop and retain exceptional, supportive staff
  • Provide visionary leadership that is actively engaged in defining future standards of supports
  • Sustain sound stewardship to advance mission, financial, and organizational integrity


Caregivers can be family members or non-family members. However, caregivers cannot be spouses, parents of minor children or legally responsible relatives.

Caregivers must be approved by the program (interview, references, CORI check) and provide 24-hour supervision.

To be eligible for Adult Family Care / Adult Foster Care:

  • 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 (ADLs)
  • 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
  • you must be approved for AFC by a physician and an Aging Services Access Point (ASAP)

Level I and Level II. The level of care is determined by an assessment administered by a Registered Nurse.

You can live in your caregiver’s home or your caregiver can move into your home. You will be treated like a member of the family by your caregiver. You and your caregiver will receive support from a registered nurse and a case manager on a regular basis. Your caregiver will:

  • prepare meals and snacks
  • assist you with personal care
  • provide medication reminders and assistance
  • do shopping, laundry and housekeeping
  • provide transportation to medical appointments and social visits
  • maintain a clean safe living space

Call us 781-762-4001 or fill Out the form below for More Information

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