Transforming Lives in Communities Across Massachusetts

Adult Foster Care  is a state-funded program that transforms lives. Its services allow seniors and persons with disabilities who need assistance with personal care tasks to remain in a home and in the community with a qualified and approved caregiver. We at the Massachusetts Council for Adult Foster Care  offer professional support to the agencies across the state that provide this valuable program.

The council has supported its dedicated member agencies since the mid-1970s. This support comes in many forms - through interpreting and implementing regulations, developing best practices, establishing networking connections for like agencies or advocating for appropriate funding for caregivers. All of these efforts ultimately benefit vulnerable individuals in Massachusetts communities who need it most.

Through leadership, knowledge and advocacy, we engage with more than 80 Adult Foster Care provider agencies across the state, allowing over 12,000 participants, starting as young as age 16, to thrive in their homes and their communities through the support of their caregivers.

Resources and Information from the September 19th MCAFC Regular Meeting:

Prior Authorization Trainings: Beginning late fall of 2018, AFC providers will begin to submit their Prior Authorization’s (PA’s) through the LTSS Provider Portal.  You can access the LTSS Provider Portal here:
MassHealth will host two training sessions on October 17th and October 18th. If you wish to attend one of these training sessions you can register on the LTSS Provider Portal at

The training sessions will take place at the following locations:
Session 1: Wednesday October 17
Location: Natick Elks Lodge 95 Speen St. Natick, MA
Time: 11 am - 1 pm
Session 2: Thursday October 18
Location: Tempus Unlimited 600 Technology Center Dr, Stoughton, MA 02072
Time: 11 am - 1 pm
Please be aware that seating is limited at both locations. Once the maximum limit is reached the registration option for that location will cease accepting new attendees.  If you have any questions about this email, the LTSS Provider Portal, or how to gain access to the Portal, please contact the LTSS Provider Service Center at 1-844-368-5184 or email

OIG and SORI Checks:   Bulletin #196 dated October 2009, Provider Obligation to Screen Employees and Contractors for Exclusion from Participation in Federal Health Care Programs

Membership Survey: Click Here!

MCAFC Dues Form: Click here!

Easter Seals Presentation: Below are links to the documents forwarded to us by Kevin Berner- the Easter Seals Assistive Technology presenter.
We hope you found the presentation beneficial and the information helpful. 

Power Point presentation

Assistive Technology Independent Living flyer

Assistive Technology Resources

Referral Form


FISCAL SOUNDNESS FORM 8.31.18: The AFC fiscal soundness form is now available to complete on the portal.  The instructions are attached HERE.

LTSS Core Assessment: For review and feedback only 8.22.18

If you tried to catch the webinar on Wednesday for the Core Assessment, you are well aware that there was a large amount of technical difficulties.

Mass Health has provided the Powerpoint and the revised Core Assessment for agencies to review.

A few things to keep in mind:
1.  The Core Assessment is in it's development phase and NOT ready for use.  Please continue to use the MDS-HC now.

2. Mass Health is welcoming feedback on the revised Core Assessment as far as content, flow, ease of access, and whatever other comments your agency may come up with.  Please respond as an agency, not individually, in order to reduce the volume of emails to Mass Health.

Please send your comments and feedback to Pamela Gardner who is our Core Assessment Project Manager. She can be reached at: or 617-222-7486.  Please respond by September 14th, 2018.

To access these resources: 
First, view the Powerpoint Here from the LTSS Core Assessment meeting on Wednesday.

Second, You will find the newly updated core assessment tool HERE. This document will replace the MDS HC 2.0 currently in use for many of services and will be used in ADH, AFC, GAFC and Day Habilitation.



AFC Fiscal Soundness Bulletin (4/27/18): Please click HERE for the link.


Advocacy Update, April 26, 2018:

Thank you for all of your calls and emails to your Representatives this week and last week to advocate for rate relief for Adult Foster Care in the House budget. Your efforts not only helped us to secure over 47 cosponsors to the AFC amendment, sponsored by Chairwoman Denise Garlick, but we were able to secure both rate language and a $2,000,000 increase to the MassHealth line-item, specifically for Adult Foster Care.

It is a huge accomplishment to gain one third of the House to support our AFC amendment and the resulting language and appropriation is a positive step in the right direction that will help us to accomplish our overall budget goal for FY19. The Mass. Council for AFC is grateful not only to our legislative champions in the House, who helped to achieve this outcome for the AFC program, but to you for working with your legislators, and asking them to sign-on and support Chairwoman Garlick’s AFC amendment. Please read on for more detail about the House budget result and next steps.

As you know, this week the House is actively debating its FY19 budget. Last night, the House approved language that would require the Executive Office of Health and Human Services (HHS) to establish rates for AFC that are (in the aggregate) no less than $2,000,000 more than was paid to AFC in FY18. This language does require an AFC rate increase, but it is unclear exactly what size of an increase this would result in. This language does not prohibit HHS from restoring AFC rates to the pre-cut levels, however, the additional $2,000,000 appropriation appears to be sufficient to fund only a partial rate restoration.

That said, we have more work to do. The Mass. Council for AFC is first going to be working to assess the impact that this language will have on AFC rates providers. Next, the Mass. Council for AFC will be working with the Senate during their budget debate in May to advocate for AFC rate relief, much like we did with the House. To that end, and finally, the Mass. Council for AFC will be looking again to you for your help through this process.

In order to be successful in the Senate in securing rate relief for AFC, we will need your support and we will need you to take action and contact your Senators. The Mass. Council for AFC will be releasing calls to action with specific guidance in May. Please be on the lookout for more information about the status of efforts and for AFC Action Alerts. Again, thank you for your commitment to supporting AFC!

April 24, 2018 House Budget Amendment Fact Sheet

March 2018- Accreditation Bulletin

Mass Health has released more guidance for Accreditation with a provider bulletin.  Please reference the bulletin HERE.

March 20, 2018

We are sad to announce that our AFC Awareness Day for March 21st has been CANCELLED due to inclement weather coming.  Please stay tuned for more Legislative Action opportunities and a plan moving forward.

Thank you for all your excitement, enthusiasm, and willingness to come in!  

Please be advised too, that the meeting in Natick is also canceled, so please do not come to Boston or Natick!


Thank you!


AFC Frequently Asked Questions 1.25.18 : HERE!


Mass Health Provider Bulletins:  Mass Health Innovations



Please follow the link for information and forms to fill out the CHIA Cost Reports by February 1, 2018.  Click here!