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Adult Family Care Frequently Asked Questions (FAQs)

What are the qualifications on an Adult Family Care Provider?

  • The AFC Provider must be in good health and able to provide physical and emotional care to the participant.
  • Providers need to have a physical examination within the prior year by a medical practitioner at initial licensing. Provider must also have a TB screen.
  • Providers are required to have a physical examination every year.
  • A provider must be an emotionally stable and responsible person 21 years of age or older. Both legally married couples and single individuals may be adult family care providers.
  • Providers should have sufficient income to maintain the family and should not depend solely on the family care payment.
  • Family members can be providers however; legal guardians and spouses cannot be approved as family care providers.
  • A provider must follow SSSS policies and work cooperatively with the agency, (and DDS and EOEA as applicable)
  • Providers (and members of the home over the age of 18) must pass a CORI.
  • At the time of transition the provider and participant will read, sign and follow the SSSS letter of agreement.

Are there restriction on an Adult Family Care Home?

  • The number, ages, and gender of persons in the home shall be taken into account as they may be affected by or have an effect upon the participant.
  • No more than two unrelated adults will be placed in the home. Composition may be flexible and consider the needs of each adult and the family or provider. (In certain circumstances three participants may live in one home)
  • No other programs providing care for children, youth or adults can operate out of the same home.
  • Adult Family Care generally takes the place of other Mass Health funded programs such as PCA or Homecare

What are the required physical aspects of the home?

  • The AFC home must be clean, in good repair, and provide for normal comforts in accordance with accepted community standards.
  • The home must have at least one smoke detector and carbon monoxide detector on each floor and at least one approved fire extinguisher serviced annually.
  • The AFC home will have at least one adequately supplied first aid kit.
  • The home will pass an initial home safety screening; any outstanding issues will be corrected prior to participant moving in.
  • Each participant will have his/her own bedroom. Bedrooms should have a source of natural light with a screened window that opens.
  • Closet and dresser space must be provided within the bedroom for the participant's personal possessions and for a reasonable degree of privacy.

What are the agency requirements for documentation?

  • At the time of transition we will draft a written plan of care outlining the support needs of the participant and the provider responsibilities in providing care.
  • We will conduct a safety assessment of the participant’s ability to respond in emergencies and document the help s/he requires.
  • We will develop an emergency plan including evacuation with a pre-arranged site for relocation, transportation and notifications.
  • Each participant will have a written plan for medical emergencies and a missing person plan with photo.
  • The provider will submit a monthly care log to South Shore Support Services. We will provide an initial training and ongoing support in correctly completing the log.
  • Each provider and participant will sign a provider agreement and HIPPA form.
  • Providers will submit a time sheet twice a month.
  • Fire drills will be conducted quarterly following the fire plan as written.

What are the requirements for transportation?

  • The provider is responsible to provide or arrange necessary transportation.
  • Drivers of vehicles must have a valid MA drivers license and observe MA State driving regulations.
  • Transportation is to be provided in vehicles which have current registration and safety inspection.
  • There must be a means of transportation in case of emergency.

What can I expect to receive from the agency?

  • You will be visited by a nurse/and or case manager on at least a monthly basis.
  • You will receive an orientation manual with
  • A home book will be created for your home to house all relevant documentation.
  • You will receive ongoing training through written materials followed up with case manager/nursing training. You will also be invited to attend agency training.
  • You will receive 14 days of respite through a pre-arranged plan with the agency. Respite providers will also become employees of the agency.
  • You will have access to the agency’s 24 hour on call system.
  • You will have the support of agency staff to help resolve any issues you may face while providing care.