Care for someone you love. Get paid, trained, and supported.

Compass AFC caregivers earn a tax-free stipend, paid out every two weeks. And you never do the work alone: paid training, a dedicated case manager, a registered nurse on your team, and bilingual staff who speak your language.

Tax-free
Tax-free stipend paid bi-weekly
Paid
Caregiver training
Bilingual
Care team support
Compass AFC caregiver supporting an older adult at home
Your care team
A case manager and a nurse assigned to every caregiver

Everything Compass AFC gives its caregivers

Caring for someone you love should not mean doing it alone.

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Tax-free stipend paid bi-weekly

A tax-free stipend for the daily care you already provide, paid out on a bi-weekly schedule. Because it is a MassHealth caregiver reimbursement, it is not counted as taxable income.

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Paid training

Onboarding and continuing education are paid and scheduled around you. Learn safe transfers, medication routines, and documentation at no cost and with no lost income.

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Dedicated case manager

A named case manager who knows your household. They work with the clinical staff to build the care plan, help with insurance and MassHealth paperwork, and coordinate the other services the person you care for is receiving.

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Registered nurse support

An RN visits regularly, monitors health changes, and is reachable when something does not look right. Real clinical judgment, not a call center.

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Bilingual staff

Case managers and nurses who speak your language, so nothing about the care plan gets lost in translation for you or the person you care for.

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Technology

Daily logs, stipend pay, training, and communication with the whole team are all handled electronically via apps — not on paper and not by calling the office.

Steps to becoming a paid caregiver

Most families are surprised how straightforward it is. Everything is done electronically.

01

Inquiry and Application

You submit an inquiry and receive the caregiver application to complete.

Start your application
02

Checks and Documents

Once the application is complete, we run background checks and collect the required documentation.

03

Clearance to Begin

You receive clearance to become an AFC caregiver.

Stipend Pay

How the stipend works

There is a tax-free stipend, which we pay out on a bi-weekly schedule. The amount is set by the level of care the person you support needs, as determined by their clinical assessment. Level 1 covers assistance with daily activities such as bathing, dressing, and mobility. Level 2 covers more intensive daily hands-on care.

Level 1
Daily assistance with activities such as bathing, dressing, mobility, and meals.
Level 2
More intensive hands-on care with a higher daily time commitment and a higher stipend.

Hear it from caregivers themselves

Short clips from people who care for a parent, a sibling, an adult child, or a neighbor through the Compass AFC program.

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Caring for a parent
How the stipend and the case manager changed what was possible at home.
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Caring for a sibling
What the paid training covered, and why the regular nurse visits mattered most.
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Care in your language
Working with a bilingual care team when English is not the first language at home.
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Caring for an adult child
Getting recognised, and paid, for care that was already a full-time job.

Can I become a paid caregiver?

The most common questions we hear from people considering the Adult Foster Care program.

Who is allowed to be the paid caregiver?
Adult children, siblings, other relatives, friends, and neighbors can all serve as paid caregivers. Under MassHealth Adult Foster Care rules, a spouse of the member and the parent of a member under 18 cannot be the paid caregiver, and neither can a legally responsible relative. Your case manager will confirm your specific situation.
Do I need a licence, certification, or medical background?
No. There is no licensing or prior healthcare experience requirement. Compass AFC provides the training you need, and it is paid. A registered nurse and case manager stay involved throughout.
Do I have to live with the person I care for?
Yes. Adult Foster Care requires the caregiver and the member to live together in the same home. The home can be yours or theirs, as long as it is a safe, stable setting in Massachusetts.
What has to be true about the person receiving care?
They must be a Massachusetts resident, be 16 or older, be enrolled in MassHealth or a participating health plan, require daily hands-on assistance with activities of daily living, and have a physician confirm that need.
Can I keep another job while being a caregiver?
Yes, as long as you are able to provide the level of daily care set out in the care plan, and the person you care for is not left alone for more than three hours a day. We will talk through your schedule during onboarding.
Is the stipend taxable, and will it affect my benefits?
The stipend is a MassHealth caregiver reimbursement rather than wages, so it is not treated as taxable income. Because every household is different, we recommend confirming the effect on any other benefits with your own tax or benefits advisor.
What language support is available?
Compass AFC has bilingual case managers and nurses. Assessments, training, and day-to-day support can be delivered in your language so nothing about the care plan is unclear for you or the person you care for.
How long does it take to get approved and start being paid?
Timing depends on your caregiver clearance and on how quickly the member's clinical assessment and physician certification can be completed. Once the care plan is approved and onboarding training is done, the stipend begins. Your case manager will give you a realistic timeline early on.
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Your Situation

Which describes you best?

Either answer is a good place to start. This just tells us who should call you.

Your Situation

I am looking to become a paid caregiver

Adult Foster Care pays someone who lives with and cares for a person they already know - a family member, friend or neighbor

Service Area

Do you live in Massachusetts?

The Adult Foster Care program is for Massachusetts residents, so this is the quickest way to know whether we can help.

Contact form

How can we reach you?

Leave your details and tell us when to call. A Compass AFC team member will follow up. No obligation.

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Outside our service area

We currently serve Massachusetts only

The Adult Foster Care program we operate is limited to Massachusetts residents. If the person is planning to move to Massachusetts, or you are not certain, call the number in the footer and our team will point you in the right direction.

Thanks for your interest in caregiving

Adult Foster Care pays someone who lives with and cares for a person they already know - a family member, friend or neighbor