AFC Health Connection — What is Adult Foster Care (AFC)?

Adult Foster Care, or AFC, is a state-supported program in Massachusetts designed to provide personalized care for adults who are unable to live independently due to medical, physical, or cognitive challenges. Through this program, eligible individuals can receive daily assistance with activities of daily living—such as bathing, dressing, meals, and medication reminders—while living in the comfort of a qualified caregiver's home. The Massachusetts AFC program is administered through MassHealth and offers ongoing clinical oversight from registered nurses and case managers, ensuring both safety and high-quality care. Caregivers, often family members or close friends, receive financial support and professional guidance, allowing loved ones to remain together in a stable and nurturing environment. AFC promotes dignity, independence, and quality of life—all while helping individuals avoid institutional care and continue living in their communities. It is a compassionate, cost-effective alternative to nursing homes, backed by the support and structure of the Massachusetts healthcare system.