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Community-Based Services

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Adult Family Care/Adult Foster Care

  • Mass Health program for frail seniors and adults with disabilities.
  • AFC adults live with trained paid caregivers.
  • Caregivers may be family members (except legally responsible relatives) or non-family members.
  • Caregivers receive payment up to a specific amount (varies per year).

To apply, contact your local Aging Services Access Point (ASAP): (800) 243-4636.

Group Adult Foster Care (GAFC)

  • Mass Health program that pays for personal care services for eligible seniors and adults with disabilities who live in GAFC-approved housing.
  • Housing may be an assisted-living residence or specially designated public or subsidized housing.
  • Residents must be eligible for MassHealth and need help with at least one daily personal care task.
  • GAFC only pays for the cost of personal care services and medication management.

To apply, contact your local Aging Services Access Point (ASAP): (800) 243-4636.

Home and Community Based Services Waiver

  • The HCBS Waiver is for low-income Massachusetts residents who qualify for nursing facility or other institutional care but want to live at home.
  • The Waiver allows MassHealth members to get needed health care and support services at home.

To learn more about the Frail Elder Waiver (FEW):


Program for All-Inclusive Care for the Elderly (PACE)

  • A program for those age 55 and older who have with chronic health conditions and meet the criteria for skilled-nursing facility level of care.
  • Ideally, applicants will be dually eligible (having both Medicare and MassHealth); a private-pay option is available.
  • Benefits/services include a full interdisciplinary medical team (primary care, nursing, social work/psychiatry, rehab therapies, adult day health care, home care, and pharmacy).
  • Participants must transition their primary care to this program.

To learn more and find out if there is a PACE program covering your area, go here:


Personal Care Attendant (PCA) Program

  • PCA helps people with long-term disabilities live independently at home.
  • It gives each eligible MassHealth member funds to hire a personal care attendant to help with activities of daily living (ADLs).
  • The MassHealth member becomes the “employer,” overseeing hiring, firing, training, and supervising the PCA.

To learn more or apply to the Personal Care Attendant Program: