MedicaidAdministrativeMedium impact
Adult Foster Care Bulletin 34: Updated Guidance Related to Adult Foster Care and Group Adult Foster Care Admission and Monthly Visit Requirements
MassHealth·MA · Geriatrics·Specialty Services
Effective date
Aug 1, 2025
We identified it
Jun 18, 2026
Summary
MassHealth updated visit requirements for Adult Foster Care (AFC) and Group Adult Foster Care (GAFC) providers, allowing more flexibility in scheduling admission and monthly visits while maintaining required nurse and care manager visit patterns. This supersedes previous Bulletin 29 and affects fee-for-service billing for these specialty long-term care services.
Action Required
Immediately: AFC/GAFC billing teams must update visit scheduling protocols to ensure RN/LPN visits occur every other month alternating with care manager visits. Document all telehealth visits used for extraordinary circumstances with required justification. Update billing system to reflect new visit patterns and ensure proper documentation to avoid overpayments and potential sanctions.