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INDEPENDENT AGING > Home Care > Home Care 7

Adult Foster Care - Get Paid for Caring!

Family Members Paid as Caregivers

Caring for a family member is one of the most rewarding and difficult jobs with financial impact as well as emotional stress.  An alternative to placing relatives in nursing home care in Massachusetts is a program called Enhanced Adult Foster/Family Care.

This program is funded through state and federal funds and pays a family caregiver a daily stipend to take care of an aging relative or disabled individual at home, or pays non-family caregivers to provide this care.

Eligibility Guidelines:

A Client for the Adult Foster/Family Care program must be at least 16 years or older and need 24 hour supervision and daily assistance with physical care and must be on Mass Health standard, or eligible for a Frail Elder Waiver under the Mass health regulations.

Caregiver reimbursement is not taxed and is non-reportable to the IRS.  Federal Medicaid law prohibits payment to a spouse or legal guardian.

The process begins with a home visit and the client and family meeting. A complete assessment of needs is then done by a Registered Nurse. Once in the program the client and family caregiver receive ongoing support from a team of professionals, including a Registered Nurse and a Care Manager. 

The Registered Nurse and Care Manager provide specific caregiver training, establishes a formal Plan of Care, and conducts regular home visits. This team also coordinates with other services such as Adult Day Health Programs, Hospice Care or Visiting Nurses, to help ensure that clients receive the range of service they need to stay comfortably at home and in their communities.


Teresa Gove Arnold, M.S. of Caregiver Homes at (978) 241-2062 or toll-free: 1-866-797-2333 or visit 

Caregiver Homes, is a Massachusetts approved Enhanced Adult Foster Care provider.