Compassionate In-Home Care Services For Seniors And Individuals With Disabilities

Group Adult Family Care (GAFC)

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About GAFC


The Group Adult Foster Care (GAFC) program in Massachusetts, funded by MassHealth, is designed to support elderly and/or disabled individuals by offering personal care services within community or assisted living environments. Here’s a detailed look at the program and the eligibility criteria set by MassHealth:

The GAFC program is an important component of Massachusetts’ efforts to provide comprehensive care to elderly and disabled individuals, enabling them to live with greater independence and quality of life within their communities.

Key features of Rivers of Hope's Group Adult Family Care program include:

  • Personal Care Services: Assistance with Activities of Daily Living (ADLs) such as bathing, dressing, eating, ambulating, and toileting. The goal is to help individuals manage their daily needs with dignity and independence.
  • Nursing Oversight: Registered nurses provide regular health assessments, medication management, and coordination of medical services to ensure that each individual’s health needs are met.
  • Care Management: Care managers work with individuals, their families, and healthcare providers to develop and implement personalized care plans. They also provide ongoing support and adjustments to the care plan as needed.


  1. Age and Residency: Must be at least 22 years old and a resident of Massachusetts.
  2. MassHealth Member: Must be eligible for and enrolled in MassHealth Standard or CommonHealth.
  3. Health and Disability Needs: Must have a clinical need for assistance with one or more ADLs as certified by a healthcare provider.
  4. Residence in a Managed Building: GAFC services are provided to individuals residing in managed buildings that offer 24-hour access. 
  5. Exclusion of Room and Board: It is important to note that while GAFC covers personal care services, it does not pay for room and board.
  6. Eligibility Determination by MassHealth: The eligibility for GAFC is determined by MassHealth, not by Rivers of Hope.

By choosing Rivers of Hope, you can expect the following benefits:

  1. Comprehensive Personal Care:
    • Receive daily assistance with Activities of Daily Living (ADLs) such as bathing, dressing, eating, mobility, and toileting, ensuring that individuals can maintain their dignity and independence.
  2. Professional Health Oversight:
    • Benefit from monthly visits by Registered Nurses and Care Managers who monitor health, well-being, and professional medical oversight.
  3. Community-Based Living:
    • Enjoy the advantages of living in a managed community setting that offers 24-hour access
  4. Qualified and Compassionate Caregivers:
    • Rivers of Hope is committed to employing caregivers who are not only highly skilled but also compassionate,
  5. Coordination with Healthcare Providers:
    • Rivers of Hope coordinates closely with each individual’s healthcare providers.
  6. No Additional Cost for Eligible Members:
    • For those eligible under MassHealth, the GAFC services provided by Rivers of Hope come at no additional cost, excluding room and board, making it an accessible option for many.
  7. Peace of Mind for Families:
    • Families can have peace of mind knowing their loved ones are receiving professional, compassionate care in a supportive and safe environment.


With Rivers of Hope, you can trust that you and your loved ones will receive high-quality, personalized care and support.


Caregiver Application

If you are currently taking care of a family member in your house, they might qualify for Adult Foster Care program. This service is a MassHealth funded program for individuals 16 years old and other in need of daily help to complete their ADL’s. To become the caregiver, you must live with this member already, provide healthy meals and snacks, companionship, personal care assistance, and 24 hour supervision.​ Upon enrollment, you will meet our multidisciplinary team that is consist of a Director, Register Nurses, Care Manager and our Administrative Support team. Our staff are well educated and are trained to serve your family needs. Our team speaks Haitian Creole, English, Russian, and Lithuanian.