Our Services

Group Adult Foster Care (GAFC)

Support with day-to-day activities from a direct care aide who visits your home

What Is GAFC?

Group Adult Foster Care (GAFC) is a MassHealth program that may provide daily assistance from a direct care aide in the member’s home, together with nursing oversight and care management.

The direct care aide does not live withthe member. Services depend on eligibility, assessment, authorization, location, and current staffing.

Who Qualifies for GAFC?

A person may qualify for GAFC if they:

  • Are generally age 22 or older
  • Have eligible coverage
  • Have a primary care provider order
  • Need daily assistance with at least one qualifying activity of daily living (ADL)
  • Complete the required assessment
  • Receive prior authorization
Nurse in blue scrubs measures blood pressure of smiling elderly woman on couch.

What Does a Direct Care Aide Do?

A direct care aide provides approved personal care and assistance with activities of daily living during scheduled visits, carrying out the tasks outlined in the member's individualized care plan.

It's important to note that this role is not general housekeeping, companion, respite, or a cleaning service.

How Is GAFC Different from AFC?

The main difference is that a direct care aide does not live with the member in the GAFC program. Instead, they visit to provide support. In Adult Foster Care (AFC), the person who provides care lives in the same home as the member and helps with their routine and needs.

Frequently Asked Questions

Find answers about our services, coverage, and how to begin.

Does the direct care aide live with the member?
Who provides care in the GAFC program?
How often will a direct care aide visit?
How can I get started with GAFC?
How do I know if someone qualifies for GAFC?
How does a direct care aide enter the program?
Ready to Begin?

How to Get Started

Contact Fortcom Health Services first. Our intake team will discuss the member's needs, coverage, ZIP code, and living arrangement; explain current availability; and guide you through the PCP order, assessment, documentation, and authorization steps.

Nurse helps elderly woman walk up a staircase indoors while holding her hand.

Complete Our Quick Form to Find a Direct Care Aide

Our team will review your information and reach out to help you take the next step.

Healthcare worker in scrubs holding the wrist of an elderly person wearing a green sweater.

Refer Someone You Care About

If you would like to refer a person or know someone who could use our services, please let us know and we will contact them soon.

Learn More