A daughter holds an open care plan binder behind her father at their kitchen table in a Greater Boston home.

Adult Foster Care · MassHealth funded

Get paid for the care you already give.

If you live with and care for an adult on MassHealth, Adult Foster Care can pay you up to $1,730 a month, tax free. M&L Prodigy Healthcare handles eligibility, caregiver training, and the monthly nurse and social worker visits.

Governed by MassHealth regulation 130 CMR 408.000. The member must have active MassHealth coverage. A spouse cannot be the paid caregiver.

What Adult Foster Care is

Adult Foster Care is a MassHealth program that pays a family member or friend to care for an adult at home, with a nurse and a care manager behind them, so the people we love can stay where they belong.

$1,730

a month at most, tax free, paid to the caregiver

6+6

nurse and care manager visits a year, one every month

24/7

a clinical team on call when something changes

EN+ES

our team speaks English and Spanish

The stipend

What the caregiver is paid, every month.

Up to

$1,730

per month, tax free

That is up to $20,760 a year for the care you already give.

The exact amount follows the registered nurse’s home assessment of how much daily help the member needs. We walk you through it before anything is signed.

  • Paid to the caregiverEvery month, for the daily personal care they give the member at home.
  • Tax freeUnder IRS Notice 2014-7, when the caregiver lives with the member.
  • No cost to the familyAdult Foster Care is funded by MassHealth. We never charge families.
  • Support comes with itTraining, a nurse, a care manager, and a team on call around the clock.

Published MassHealth rate, up to $1,730 a month. Governed by 130 CMR 408.000. A spouse or other legally responsible relative cannot be the paid caregiver.

What we promise

Three commitments, every family, every time.

These are M&L Prodigy's standards. They are how families and partners hold us accountable.

  1. 01

    A fast, honest answer

    We tell you where you stand quickly and plainly. If Adult Foster Care is not a fit, we say so straight, with no run around, and point you to what might be.

  2. 02

    Clinical responsiveness

    Nurse and care manager visits on schedule, and a clinical team on call when something changes. Same day response on real worries.

  3. 03

    Care in your language

    Our team comes from the communities we serve and speaks English and Spanish, from the first call to every visit.

Our team speaks

  • English
  • Español

Call in English or Spanish. The same team stays with you through intake, training and every visit.

A daughter and her father sit together on the porch of a Massachusetts triple decker in late afternoon light.
Composited from real families. Names and faces changed.

Family stories

“A nursing home was the plan. My father said no. I said no. Then someone at the hospital said three letters, A·F·C, and a whole second option opened up.”

“I had been doing this for three years already. The bathing, the medications, the nights. Nobody told me there was a program that paid for it, or that a nurse would come and ask how I was doing.”

“We found out from a neighbor, not from an office. That is the part that stays with me. How many families on this street still do not know this exists?”

Story 1 of 3

Composited from family stories M&L Prodigy has supported. Names and details changed.

See if your family may qualify

Questions families ask

Plain answers, before you call.

What is Adult Foster Care, in plain words?

It is a MassHealth program for adults who need daily help with personal care and would rather stay at home than move to a nursing facility. A family member or friend who lives with them gives that care and is paid a monthly stipend for it. An agency like ours trains the caregiver, sends a nurse and a care manager to the home, and handles the MassHealth paperwork.

How much is the caregiver paid?

Up to $1,730 a month, tax free under IRS Notice 2014-7 when the caregiver lives with the member. The exact amount follows the registered nurse’s home assessment of how much daily help the member needs.

Can a husband or wife be the paid caregiver?

No. MassHealth does not allow a spouse, or a parent of a member under 18, to be paid under Adult Foster Care. An adult child, another relative, or a friend who lives with the member can be.

Does the caregiver have to live with the member?

Yes. The caregiver and the member live in the same home. That is also what makes the stipend tax free.

How often do the nurse and care manager visit?

A registered nurse visits every other month and a care manager visits in the months between: six nurse visits and six care manager visits a year, so someone from the team is in the home every month. Between visits, the clinical team is on call around the clock.

Does it cost the family anything?

No. Adult Foster Care is funded by MassHealth. We do not charge families for eligibility checks, training, visits, or anything else.

What if I am not sure they have MassHealth?

Call us anyway. Many people are covered through a plan such as One Care or Senior Care Options without realizing it counts. We will help you find out, and tell you what to do if they are not covered yet.

How long does it take to get started?

It depends mostly on MassHealth. We schedule the nurse assessment quickly, file the paperwork for you, and tell you where things stand at every step, so you are never left wondering.

Which parts of Massachusetts do you serve?

We serve Metro Boston, North Shore, South Shore, Metro West. If you live nearby, call us anyway and we will tell you honestly whether we can help.

Which languages do you speak?

English and Spanish. Our team works in both, from the first call through every visit.

Do you offer other kinds of home care?

No. Adult Foster Care is the only program we offer, so it gets all of our attention.

Talk to our team

One call answers most of it.

Monday to Friday, 8am to 6pm. In English or Spanish. Usually the same day, never more than one business day.