Adult Family Care

Adult Family Care (AFC) provides clinical and financial supports to qualifying caregivers or family members. AFC assists them to care for the elderly and adults with developmental disabilities in a home setting.

Path to Family Living

In-Home Supports

CLASS is very proud of its personal, high-touch relationships with families, and families trust the staff of dedicated nurses and care managers.

Financial Assistance

Qualified caregivers receive a tax-exempt monthly stipend through MassHealth based on the level of care the individual requires.

Family Resources

When the best choice for your loved one with disabilities is to live at home, your dedicated team will help you develop a plan of care, just for you.

Program Highlights

Multilingual Staff

AFC staff members speak English, Spanish, and Creole fluently.

In-Home Consultation

After phone introductions, the AFC manager will schedule an in-home meeting to discuss your particular needs, care plan, options and resources. If you qualify for services, the manager will help you fill out your application and mail it in.

24 Hour Response

The AFC team takes pride in being available to you when you need assistance. You are not alone.

AFC staff: Front row (L-R): Migdalia Bachman, RN; Eva Mutto, RN; Fedra Carmona, care manager.

Back row: Natasha Louis-Jean, RN (seated); Abraham Perez, care manager; Leonarda Rodriguez, administrator; Mailyn Lara, care manager; Daniel Mbugua, RN; Melissa Ramirez, care manager; Ana De La Cruz, AFC manager (seated).

Testimonials

“I decided to become a caregiver in my family setting. I’ve seen a lot of people who need a family. My goal is to make a person feel like part of a family.” Priscilla Roberts, CLASS AFC's first non-biological caregiver

“Personal care attendants didn’t work out for our family. With AFC I can be home to spend time with my daughter.” Cynthia Webster

“Thanks to AFC, I can plan ahead and say how things are going to be. It’s an incredible feeling I haven’t had in a long time.” Linda Daly, AFC caregiver for her son

Frequently Asked Questions

What is the Adult Family Care program?
The Adult Family Care (AFC) program provides clinical and financial assistance to qualifying caregivers or family members to assist them to care for their loved ones with disabilities in a home setting.
How is the Adult Family Care program funded?
CLASS’s AFC program is funded by MassHealth through the Executive Office of Elder Affairs. This program offers MassHealth-eligible individuals over the age of 16 the option to continue living at home with their families or with non-family members.
Who is eligible for support?
Individuals, 16 years of age and older, on MassHealth who are unable to live alone.
Who is eligible to apply?
Qualified caregivers are able to meet daily care needs of participants and follow program guidelines. A caregiver may be a family friend or family of the participant, except a spouse or legal guardian, and must live in the same home as the participant. You may be eligible if your loved one requires assistance with bathing, mobility, dressing, toileting and other elements of personal care. Also consider house cleaning, laundry, grocery shopping and medication reminders. contact us to set up an interview and explore your family assistance options.
How do I apply?
Ask the CLASS AFC program about an in-home consultation — send us a message and a coordinator will get back to you.
I’m a parent. Am I eligible to be a caregiver?
Per MassHealth, you are not eligible if you are a parent of a minor child who would be the AFC individual; the spouse of the individual; or a legally responsible relative, such as a legal guardian of the individual.
If approved for the program, what services can I expect?
A CLASS care manager will teach you how to manage everyday challenges to give you more time to enjoy the everyday triumphs. You will learn about your community resources, caregiver compensation, relief and alternative placement, respite services, case management and support, nursing support, intake assessment, and 24-hour emergency care consultation.
Can I apply to be a caregiver if I am not related?
CLASS AFC caregiver placements include several successful nonbiological matches. If you would like to be a caregiver for someone in your own home, or if you don’t have a family caregiver but need assistance, contact AFC to set up an exploratory interview.

Interested in starting your AFC process?

contact us to set up an interview and explore your family assistance options.

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Caregiver Training and Ongoing Support

At CLASS, we believe that confident caregivers create stronger homes. That is why every family enrolled in Adult Family Care receives hands-on training tailored to the specific needs of their loved one. Care managers can walk you through how to safely assist with mobility, manage medications, prepare special diets, and recognize early signs of health changes. Training sessions are offered in your home, at your convenience, in the language that works best for your family.

Beyond the basics, we host small-group workshops throughout the year on topics families tell us matter most. Recent sessions have covered dementia-friendly communication, wound care basics, and using adaptive equipment. Each workshop includes time for questions and practice, so you leave feeling ready, not overwhelmed. If you ever need a refresher or a new skill because your loved one’s condition changes, just call your care manager — additional training can be arranged.

Respite Care: Time to Recharge

Caring for a family member is a labor of love, but even the most dedicated caregivers need a break. Adult Family Care includes access to respite services, which give you time to rest, run errands, attend medical appointments, or simply enjoy a quiet afternoon. Respite can be arranged for a few hours, a full day, or even an overnight stay, depending on your loved one’s needs and your plan of care.

Your care manager will help you identify trusted respite providers — including trained AFC staff and vetted community partners — who understand your loved one’s routines, preferences, and medical requirements. Many caregivers tell us that regular respite helps them return to their role with more patience and energy. Remember: taking care of yourself is not a luxury; it is part of taking good care of your family.

Navigating MassHealth Paperwork with Confidence

One of the biggest worries families share with us is the paperwork. MassHealth applications, annual redeterminations, and physician forms can feel intimidating. Your dedicated AFC care manager sits with you through every step. We help you gather the right documents, explain each form in plain language, and double-check everything before it is mailed. If MassHealth requests additional information, we respond quickly and keep you informed.

Each year, before your loved one’s eligibility renewal date, we send reminders and schedule a home visit to complete the required paperwork together. Our team also tracks any changes to MassHealth rules, so you never have to research policy updates on your own. Families often tell us this hands-on guidance is the reason they chose CLASS — and why they stay with us year after year.

  • Help with the initial AFC application and physician forms
  • Annual redetermination support, completed in your home
  • Ongoing monitoring of MassHealth rule changes
  • Help understanding the paperwork in the language that works best for you

Peer Support: Learning from Other AFC Families

Living with a disability or caring for an aging parent can sometimes feel isolating. CLASS hosts monthly caregiver support groups where you can meet other families who understand your daily joys and challenges. These gatherings are relaxed and welcoming — no formal presentations, just conversation, coffee, and shared practical advice. Topics range from dealing with difficult behaviors to finding local accessible activities for your loved one.

In addition to support groups, we connect new caregivers with experienced AFC families through a voluntary peer mentoring program. A mentor can show you how they organized their home, balanced caregiving with work, or handled a tough hospital stay. You are never alone on this path. Your care manager can help you join a group or match you with a mentor whenever you feel ready.

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