Become a Caregiver in Massachusetts

Caring for a loved one is selfless and compassionate; it is also a significant commitment of time and energy. In Massachusetts, many family members or friends provide full-time care without realizing they can receive financial support for it.

Getting paid to care for a loved one at home not only provides financial stability but also ensures your family member receives high-quality care in a comfortable, familiar environment. At Careforth, we help families navigate state program eligibility and get the support and payment they deserve. 

Become a Paid Caregiver in Massachusetts

If you are currently helping a family member with daily tasks or personal care, you may be eligible to become a paid family caregiver in Massachusetts. Through the Adult Foster Care (AFC) program, the state recognizes the important role family members play in keeping their loved ones out of a nursing facility and aging comfortably at home.

AFC includes a tax-free stipend for caregivers, helping offset the costs of providing care. Those receiving care can stay at home while getting support from someone they already know and trust—typically a family member or a close friend. This approach prioritizes comfort, dignity, and independence for the person receiving care.

What is Adult Foster Care in Massachusetts?

Adult Foster Care is a program funded by Medicaid designed for those who cannot live alone due to medical, physical, or cognitive challenges.

The AFC program is unique because it requires the caregiver and the care recipient to live together. Organizations that offer AFC, like Careforth, pay caregivers to assist their loved one with Activities of Daily Living (ADLs), such as bathing, dressing, or eating. Beyond the financial support, caregivers also receive expert oversight from a dedicated team, including a care manager, to ensure the health and safety of both the caregiver and the person receiving care.

Caregiver Compensation in Massachusetts: What to Expect

When considering caregiver compensation in Massachusetts through AFC, it is important to understand that these payments are not hourly wages but rather tax-free stipends. This means the money you receive is generally not subject to federal or state income tax. Caregivers in Massachusetts can get paid up to $1,500 per month if eligible.

Who Qualifies for Adult Foster Care in Massachusetts?

To qualify for Adult Foster Care, the person receiving care must meet specific criteria:

• Must have MassHealth Standard or CommonHealth coverage. 
• Must be 16 years of age or older.
• Must require daily assistance with at least one ADL, such as dressing, toileting, or getting around.
• Both the caregiver and recipient must live in the same private residence.

Quick Eligibility Checklist:

• Is your loved one 16+ and a Massachusetts resident?
• Do they have MassHealth Standard or CommonHealth?
• Do you live together (or are you willing to)?
• Do they need help with bathing, dressing, eating, or walking?

If you checked all the boxes, you may qualify for AFC.

Can a Spouse Be Paid as a Caregiver in Massachusetts?

Under the current Adult Foster Care program regulations, a paid family caregiver in Massachusetts cannot be the spouse or legal guardian of the person receiving care. 

However, friends and other family members—including adult children, siblings, grandchildren, and nieces or nephews—can qualify as paid caregivers. If you are a spouse seeking support, Careforth can help connect you with alternative resources or community programs for caregivers regardless of their eligibility for AFC.

How to Become a Caregiver in Massachusetts: Step-by-Step

Starting your journey as a paid family caregiver in Massachusetts is a structured process that can vary in length. Have your eligibility details and documentation at the ready to keep the process moving and on track. Here is what you can expect when becoming a paid family caregiver:

1. Check Eligibility: Ensure your loved one has the correct MassHealth Standard or CommonHealth coverage and meets the clinical requirements for care.
2. Apply with a Provider: Contact an authorized AFC provider like Careforth to get started.
3. In-Home Assessment: A registered nurse and care manager will visit your home to assess the needs of the care recipient and the safety of the environment.
4. Receive Coaching: Once approved, you will receive specialized coaching and a customized care plan.
5. Start Receiving Pay: Once enrolled, receive your tax-free stipend, paid weekly.

How Careforth Helps You Become a Paid Caregiver in Massachusetts

Navigating state programs can feel overwhelming, but you don’t have to do it alone. Careforth simplifies the process of becoming a paid caregiver in Massachusetts. We assist with the initial eligibility check, support you through the enrollment process, and help set up a care plan that works for your family once approved.

When you are enrolled in Adult Foster Care, we provide more than just a stipend. You will be matched with a dedicated care coach who provides ongoing emotional support, medical guidance, and connection to other resources your family might need. Our goal is to ensure you feel confident and supported caring for your loved one at home.

How Can Careforth Help Massachusetts Caregivers?

We understand that to provide great care, the caregiver needs to be cared for, too. At Careforth, we strive to provide the resources and connections that ensure caregivers feel supported during their caregiving journey. That includes expert guidance, clinical oversight, and a user-friendly mobile app to keep your day on track. Visit the Caregiver Support page on our site to learn more about how Careforth can help, or contact us for more information.