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Adult Family Care  


Through the Massachusetts’ Adult Family Care (AFC) Program, program participants reside in a private home with a caregiver, usually a family member, who provides around-the-clock supervision, personal care assistance, and homemaker services. This program is intended for state residents who require assistance due to an inability to independently complete their activities of daily living (ADLs).

Charles River Center Adult Family Care program, commonly known as adult foster care, may be the right fit for individuals who cannot live alone and need a full-time caregiver to assist in the areas below: 

•      Cueing and supervision throughout an entire task pertaining to the member's (ADLs).

•      Hands-on assistance with toileting, bathing, eating, ambulation, and other activities of daily living (ADLs).

•      Behavioral management and supports.

ADLs include activities such as bathing, grooming, dressing, eating, mobility, and toileting. While a program participant can be as young as 16 years old.

We tailor our AFC supports to each family’s unique needs and preferences, and honor and value cultural diversity. Our experienced team of case managers and registered nurse (RN) partners with your whole family to help you care for your loved one in the comfort of home. 

Support to caregivers and their loved ones includes:

•      A tax-free stipend.

•      Regular visits from a registered nurse and a case manager, either monthly or bi-monthly based in the level status determined by MassHealth.

•      Referrals to services and community resources

•      Connections to other programs and services at Charles River Center or other agencies that may provide additional support to both the caregive and member of the AFC program.



To be eligible for our AFC program, the individual receiving care must:
•      Live with a caregiver in a private home or apartment in Massachusetts
•      Be 16 years or older
•      Require assistance with activities of daily living, personal care, and behavioral supports
•      Qualify for MassHealth (Standard or Common Health) or a version of a Senior Care Options (SCO)
•      Have a doctor’s order showing a medical, mental, and/or physical need
To be eligible for our AFC program, a caregiver must: 
•      Be at least 18 years old
•      Live with the person who needs assistance
•      Not be a spouse, parent of a minor, or a legal guardian of the person in need of care
•      Pass a CORI (criminal offender record information) check
•      Follow AFC regulations
The program is funded through Mass Health.
For more information about our Adult Family Care program, please contact Shannon Tedeschi, AFC Program Director (781) 972-1017 or
Reviewed and revised: 10/2021