Northeast Arc’s Long-Term Support Services allow individuals with medical, physical, or developmental disabilities to remain at home where they can live independently and with a high quality of life. Services are provided through two programs:
Adults with disabilities often receive care at home from family for friends. Northeast Arc’s Adult Family Care (AFC) program provides support—in the form of compensation and training—that enables these caregivers to provide valuable support to loved ones and friends in their home.
This program is supported by MassHealth, and caregivers can receive a tax-free stipend ranging from $10,220 to $18,790 annually. The person receiving support uses their government benefits to contribute room and board to the caregiver, when appropriate.
The Personal Care Attendant (PCA) Program is a MassHealth program that allows people with long-term disabilities to live at home independently. Northeast’s Arc Personal Care Management (PCM) program serves about 3,600 individuals.
PCM is consumer-directed, meaning PCAs are hired, trained, and supervised by the person with the disability (consumer). PCAs do not work for Northeast Arc – they work for the consumer. As the employer, a consumer hires the PCA, sets up a schedule, and trains PCAs to meet personal needs.
Which program is right for you?
Adult Family Care
- Helps keep people in their homes with caregivers and not in facility care
- Provides assistance with ADLs, IADLs, and other personal care as needed, nursing services and oversight, and AFC care management
- Must require direct supervision/cueing through at least one activity of daily living
- Ages 16 and above
- Time from assesment to MassHealth approval is typically 1 to 2 months from time of referral
- Family members can be paid caregivers as long as they are not the legal guardian or spouse of the individual
- AFC caregiver is hired as a Northeast Arc independent contractor and works with a multi-disciplinary team
- Paperwork requirements: Hiring packet for AFC caregiver, daily logs turned in months, 6-month assessments
- Northeast Arc completes CORIs and SORIs
- Individual must live in caregiver’s home
- Contact with Northeast Arc case managers, RN’s
- Monthly home visits
- Access to Northeast Ar support: Business hours, flexible monthly home visits, 24/7 emergency and nursing on-call consultation
- Pay to caregivers: Ranges from approximately $10,220 to $18,790 annually
Personal Care Management
- Helps support people in their homes and their communities
- Provides assistance with ADLs, IADLs
- Must require physical assistance with at least two activities of daily living and be able to manage the program on own or obtain a surrogate
- Ages 3 and above
- Time from assesment to MassHealth approval is typically up to 3 months
- Family members can be paid caregivers as long as they are not the legal guardian, spouse, or surrogate of the individual
- Program is consumer-driven: Consumer/surrogate is the employer, responsible for hiring PCAs, completing weekly timesheets, and supervision
- Paperwork requirements: Hiring packets for PCAs, weekly time sheets, annual reviews
- Consumer/surrogate completes CORIs and SORIs
- Individual’s primary residence (independently or with others)
- Skills trainers, RN’s
- Quarterly home visits in first year, annually thereafter and/or as needed
- Access to Northeast Ar support: Business hours, flexible home visits, Northeast Arc 24/7 beeper coverage
- Pay to caregivers: Approximately $16.10 an hour