At Rivers of Hope, we understand the importance of family and home in the lives of individuals with disabilities. That’s why our Adult Foster (Family) Care Program is designed to support individuals in the comfort of their own homes or the homes of their families. Our program is for individuals who are 16 years or older and are facing developmental disabilities, physical disabilities, or mental illness.

With our program, individuals will receive the services and financial support they need to live comfortably and independently at home with their families or companion/friend. Our caregiver, who lives with the individual, will assist with daily activities, provide healthy meals, and offer 24-hour supervision and companionship.

At Rivers of Hope, we believe that no one should have to face their challenges alone. That’s why we visit our clients monthly or more frequently if needed. Our multidisciplinary team, consisting of a Director, Registered Nurses, Care Manager, and Administrative Manager, is here to support you every step of the way. Our team speaks Haitian Creole, English, Russian, and Lithuanian, so you can feel confident that we will understand your needs and provide the care you deserve.

Discover the benefits of our Adult Foster (Family) Care Program today by call us now!



Eligibility Requirements

Potential AFC members should:​
- Have MassHealth Standard​
- Be at least 18 years old​
- Services must be ordered by a physician ​
- Require supervision, cueing or physical assistance with one or more activities of daily living; mobility, eating,
dressing, bathing, toileting, or transferring.

What are the costs?

Rivers of Hope's AFC program (through MassHealth) pays the caregiver a monthly stipend for personal care services provider administrators. The AFC provider (through MassHealth) will also pay for 2 weeks respite for the caregiver per year. ​

What about time off for a caregiver?

Each Caregiver is eligible for 14 days of "paid vacation" per year. As part of the AFC program, upon entry into the program, an alternate Caregiver must be identified so they can fill in for the primary Caregiver when needed. The alternate Caregiver must provide care in the AFC members home, or in their own. The same qualifications apply to the alternate Caregiver as they do the primary Caregiver.

The Benefits of AFC

The Adult Family Care agency will carefully screen and train your caregiver, make sure you are getting the services you need, provides monthly visits and/or as needed visits by Care Managers or RN's to monitor medical conditions and evaluate the caregiver services, offer support and provide 24-hour coverage for emergencies. Your caregiver will receive an annual stipend of around $9,000 for level 1 care or $19,000 for level 2 care, tax free.

Is there paperwork involved?

Yes. Caregiver log that need to be completed on a daily basis. Providing the company with annual physical documents and annual caregiver agreement documents.

Anything else?

Depending on the level of care monthly home visits are done with an RN and the AFC Care manager. These people are also available to help in anyway they can.