Adult Family Care

Adult Family Care (AFC) Program

A caregiving program for individuals needing assistance with daily living

What is BCArc’s Adult Family Care Program?

AFC enables the elderly and individuals with chronic illness or disabilities to continue living at home with their families, maintaining dignity and privacy.

AFC ensures that each participant receives the assistance they need with activities of daily living, such as personal care, meals, and supervision.

Our program provides training and support from a multi-disciplinary team including a registered nurse and a case manager.

AFC maximizes the potential for community participation by keeping individuals in their community with support.

AFC is compatible with skilled nursing and hospice, and is an alternative to nursing home or residential placement.

Berkshire County Arc’s AFC Program is a proud member of the Massachusetts Council for Adult Foster Care.

The Coopers

Berkshire County Arc has been supporting individuals with disabilities for over 60 years.

BCArc AFC Families

What influenced you to join the AFC program? Why did you decide to participate?

“I want to keep caring for my son in our home environment and the AFC program is just a perfect way to do this.”

“We concluded that it would be wise to have a support network to aid our daughter and our family, both now and in the future.”

How does participation in the AFC program affect or benefit our family?

“(AFC) is an additional support professionally and financially that offers my son and family a better way of life.”

“It allows us to have piece of mind knowing that we are not alone in this and that other resources are available to us.”


Requirements for AFC Participation

  • AFC is available to individuals over the age of 16 who cannot live safely on their own due to medical, physical, cognitive or mental disability.
  • Applicants must need supervision or assistance with at least a portion of their activities of daily living such as bathing, dressing, eating, toileting and/or ambulation.
  • Applicants must live in the same home as the caregiver.
  • Applicants must be eligible for MassHealth Standard or MassHealth CommonHealth. Applicants cannot also receive Personal Care Attendant (PCA) services or Home Health Aide (HHA) services.

About AFC Caregivers

  • Caregivers can be family members or non-family members.
  • Caregivers cannot be the legal guardian or spouse of the participant.
  • Caregivers must be approved by BCArc according to MassHealth guidelines.
  • Caregivers receive a monthly stipend, depending on the level of care needed.
  • Caregiver stipends are excluded from taxable income.

Matching Caregivers and Participantsdoris-walker

For participants needing to be matched with a caregiver who is a non-family member, BCArc will adhere to the strictest requirements per MassHealth regulations to ensure the health and safety of the participant and to ensure successful placement.



BCArc’s AFC program is funded by MassHealth through
the Masachusetts Executive Office of Elder Affairs.

Download a copy of our brochure

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