Nothing is more important

The Adult Foster (Family) Care Program supports individuals in the homes of their families or their own homes. The program is for individuals that are 16 years old plus with developmental disabilities or physical disabilities, and for adults with physical disabilities, or with mental illness. Through this program the individual will receive services and financial support they need while living at home with their families or companion/friend. The caregiver (person that lives with individual) will assist the individual with ADL’s, provide healthy meals, companionship, personal care assistance, and 24 hour supervision.​ With Rivers of Hope, you are not alone! We visit you monthly or more frequent if needed. Our multidisciplinary team consist of a Director, Register Nurses, Care Manager and Administrative Manager. Our team speaks Haitian Creole, English, Russian, and Lithuanian.



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.