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Adult Family Care

If you have an older adult or person with disabilities living with you who requires supervised living and personal care services and is on MassHealth, the Adult Family Care (AFC) program can provide you support and payment for meals, transportation, and other living expenses for the care you are providing.  WMEC provides ongoing support from nurses and case managers, regular visits and caregiver-related training. You are not alone!


We Can Help:

  • Enable older adults and individuals with disabilities to remain living in their community
  • Empower caregivers with financial compensation, education, and training
  • Encourage and assist your family with supporting your loved ones at home


Who We Serve:

  • Individuals 16 or older who require assistance with at least one essential activity of daily living
  • Individuals who prefer to receive care in a home setting
  • Individuals who wish to remain in their community, but are unable to live independently
  • Caregivers and individuals who may be biologically related, or unrelated but “like family”
  • Qualified caregivers who are matched to live in a person’s home.


Learn more about our AFC Program

Who are Caregivers?

Caregivers can be family members or an unrelated party willing to welcome a program participant in their home.


Who are Program Participants?

Individuals 16 years of age or older, who need physical assistance and/or supervision with daily living activities such as bathing, dressing, toileting, or walking. 



Adult Family Care is a MassHealth-funded program. Participants must have MassHealth (Medicaid) or pay privately.  Caregivers are paid for providing care, a private room, transportation, meals and support to their loved one or participant as a part of their family.

Getting Started

Potential caregivers are initially screened by telephone to determine if they meet basic requirements and can provide adequate supervision in the home. Criminal Offender Record Information (CORI) checks are completed on the applicant and other adults in the household. Home visits are made by the Adult Family Care Staff to evaluate the caregiving capabilities of the applicant. If an appropriate match is found, the individual and caregiver are introduced through a series of visits to assess compatibility. If all parties agree, a placement is made. For related persons or those who have an established relationship, the intake process may move more quickly as they know each other well.  

Ongoing Support:

An assigned Social Worker and Registered Nurse make monthly visits to monitor and assess participant and caregiver well-being, work on a person centered care plan with the caregiver and participant as well as provide ongoing training to the caregiver.

Frequently Asked Questions

Can a family member be a caregiver?

Yes! Family members may be the paid caregiver for a relative with the exception of one’s spouse, guardian, or active Power of Attorney.

Is it necessary for the client and caregiver to live together?

Yes.  Clients and caregivers are required to live together in the home.

What is the intake process like?

Our team will work with the caregiver and individual throughout the intake process to plan with you and ensure that needed information is processed and approval from your PCP is secured.