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Adult Foster Care

AlzWife2023
AlzWife2023 Member Posts: 327
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I’m in Massachusetts caring for LO with Alzheimer’s full time. He’s got Medicaid and is almost approved for Adult Foster Care (AFC) which means I’d be paid a non-taxable stipend to care for him. He was evaluated as needing level II care which means he needs help with two or more ADLs and behavioral supervision. 

Please share your experience with the AFC program. 

I am wondering specifically about whether the agencies that do the evaluations and monthly check-ins are paid separately or do they skim off the stipend? I’m reading about all different rates on different websites and the nurse quoted me a stipend that a lot lower than what I find in The Mass Health (Medicaid) official documents.

Commonly Used Abbreviations


DH = Dear Husband
DW= Dear Wife, Darling Wife
LO = Loved One
ES = Early Stage
EO = Early Onset
FTD = Frontotemporal Dementia
VD = Vascular Dementia
MC = Memory Care
AL = Assisted Living
POA = Power of Attorney
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