Transforming Lives in Communities Across Massachusetts

Adult Foster Care  is a state-funded program that transforms lives. Its services allow seniors and persons with disabilities who need assistance with personal care tasks to remain in a home and in the community with a qualified and approved caregiver. We at the Massachusetts Council for Adult Foster Care  offer professional support to the agencies across the state that provide this valuable program.

The council has supported its dedicated member agencies since the mid-1970s. This support comes in many forms - through interpreting and implementing regulations, developing best practices, establishing networking connections for like agencies or advocating for appropriate funding for caregivers. All of these efforts ultimately benefit vulnerable individuals in Massachusetts communities who need it most.

Through leadership, knowledge and advocacy, we engage with more than 80 Adult Foster Care provider agencies across the state, allowing over 12,000 participants, starting as young as age 16, to thrive in their homes and their communities through the support of their caregivers.


AFC Fiscal Soundness Bulletin (4/27/18): Please click HERE for the link.


Advocacy Update, April 26, 2018:

Thank you for all of your calls and emails to your Representatives this week and last week to advocate for rate relief for Adult Foster Care in the House budget. Your efforts not only helped us to secure over 47 cosponsors to the AFC amendment, sponsored by Chairwoman Denise Garlick, but we were able to secure both rate language and a $2,000,000 increase to the MassHealth line-item, specifically for Adult Foster Care.

It is a huge accomplishment to gain one third of the House to support our AFC amendment and the resulting language and appropriation is a positive step in the right direction that will help us to accomplish our overall budget goal for FY19. The Mass. Council for AFC is grateful not only to our legislative champions in the House, who helped to achieve this outcome for the AFC program, but to you for working with your legislators, and asking them to sign-on and support Chairwoman Garlickā€™s AFC amendment. Please read on for more detail about the House budget result and next steps.

As you know, this week the House is actively debating its FY19 budget. Last night, the House approved language that would require the Executive Office of Health and Human Services (HHS) to establish rates for AFC that are (in the aggregate) no less than $2,000,000 more than was paid to AFC in FY18. This language does require an AFC rate increase, but it is unclear exactly what size of an increase this would result in. This language does not prohibit HHS from restoring AFC rates to the pre-cut levels, however, the additional $2,000,000 appropriation appears to be sufficient to fund only a partial rate restoration.

That said, we have more work to do. The Mass. Council for AFC is first going to be working to assess the impact that this language will have on AFC rates providers. Next, the Mass. Council for AFC will be working with the Senate during their budget debate in May to advocate for AFC rate relief, much like we did with the House. To that end, and finally, the Mass. Council for AFC will be looking again to you for your help through this process.

In order to be successful in the Senate in securing rate relief for AFC, we will need your support and we will need you to take action and contact your Senators. The Mass. Council for AFC will be releasing calls to action with specific guidance in May. Please be on the lookout for more information about the status of efforts and for AFC Action Alerts. Again, thank you for your commitment to supporting AFC!

April 24, 2018 House Budget Amendment Fact Sheet

March 2018- Accreditation Bulletin

Mass Health has released more guidance for Accreditation with a provider bulletin.  Please reference the bulletin HERE.

March 20, 2018

We are sad to announce that our AFC Awareness Day for March 21st has been CANCELLED due to inclement weather coming.  Please stay tuned for more Legislative Action opportunities and a plan moving forward.

Thank you for all your excitement, enthusiasm, and willingness to come in!  

Please be advised too, that the meeting in Natick is also canceled, so please do not come to Boston or Natick!


Thank you!


AFC Frequently Asked Questions 1.25.18 : HERE!


Mass Health Provider Bulletins:  Mass Health Innovations



Please follow the link for information and forms to fill out the CHIA Cost Reports by February 1, 2018.  Click here!