Massachusetts Adult Foster Care: Everything You Need to Know About Becoming a Paid Family Caregiver in MA
26 Mar 2025

Introduction
If you’re asking yourself, “How do I become a paid caregiver for a family member in Massachusetts?”, the Adult Foster Care (AFC) program might be the answer. This state-funded initiative provides a structured way for family members (excluding spouses) to receive compensation for caring for an individual who needs assistance with activities of daily living. In this article, we’ll cover everything you need to know about the Massachusetts AFC program, including member eligibility, caregiver requirements, and how to begin the application process.
What Is Massachusetts Adult Foster Care?
The Massachusetts Adult Foster Care program allows eligible individuals who require help with activities of daily living—such as bathing, dressing, or meal preparation—to remain in a home setting rather than a nursing facility. A qualified caregiver (often a family member or friend) provides day-to-day assistance, offering a more personalized and familiar environment.
Key Benefits of AFC
- Personalized Care: Participants receive tailored, one-on-one support from a family member or friend in a home setting.
- Financial Assistance: Approved caregivers can receive a tax-free stipend, easing the financial burden of caregiving.
- Enhanced Independence: Members maintain their daily routines and community connections, promoting dignity and comfort.
Member Eligibility Requirements
To qualify as a member under Massachusetts AFC, the individual receiving care must meet specific criteria:
- Age Requirement: Must be at least 16 years old.
- Need for Daily Living Assistance: Must require help with at least one Activity of Daily Living (ADL), such as bathing, dressing, toileting, or mobility.
- Health Coverage: Must have MassHealth Standard, which provides the funding for AFC.
- Home Setting: Must reside with the caregiver (who is not a spouse) in a safe, supportive home environment.
Caregiver Eligibility Requirements
Caregivers who wish to participate in the AFC program must also meet certain conditions:
- Minimum Age: Must be at least 18 years old.
- Non-Spousal Relationship: Can be a family member or close friend; spouses are not eligible to be paid caregivers under AFC.
- Training & Orientation: Must complete required training to ensure they have the skills and knowledge to provide effective daily care.
- Background Checks: Must pass CORI (Criminal Offender Record Information), SORI (Sex Offender Registry Information), and OIG (Office of Inspector General) checks.
- Health Screening: Must have a TB screening within the past 12 months.
How to Apply for Adult Foster Care in Massachusetts
If both the member and caregiver meet the above eligibility criteria, follow these steps to get started:
- Contact CaringPays: Reach out to CaringPays to discuss your eligibility and program details. We’re here to guide you through the enrollment process.
- Complete an Assessment: A CaringPays representative will visit your home to evaluate the living environment and the level of care needed.
- Gather Documentation: Provide proof of MassHealth Standard coverage, medical records showing the need for ADL assistance, and the caregiver’s background check results.
- Undergo Caregiver Training: The prospective caregiver must complete any orientation or training sessions required to comply with the program.
- Approval & Enrollment: Once approved, the caregiver can begin receiving a stipend for providing care, along with additional benefits—such as a cell phone plan, referral bonuses, and more—with weekly direct deposits.
Frequently Asked Questions
Can a Spouse Be Paid Under AFC? No. The program excludes spouses from serving as paid caregivers. Other family members or friends may qualify if they meet the eligibility criteria.
How Much Can Caregivers Earn? Compensation rates vary, but caregivers typically receive a weekly stipend based on the member’s level of care.
Is the Caregiver Income Taxable? In many cases, the stipend may be considered tax-exempt, but individual circumstances differ. Consult a tax professional for personalized guidance.
Conclusion
Massachusetts Adult Foster Care offers a valuable pathway for becoming a paid family caregiver if you meet the program’s requirements. By ensuring that both the member and caregiver fulfill the necessary eligibility criteria, the AFC program helps maintain a safe, nurturing environment for individuals needing daily support.
If you’re ready to start the journey, contact CaringPays to discuss your eligibility and begin the application process. With the right resources and preparation, you can provide meaningful care to your loved one while receiving the financial support you deserve.

Disclaimer: This article is for informational purposes only and does not constitute legal, financial, or medical advice. Always consult with qualified professionals to confirm program details and eligibility requirements for your specific situation.