We know forms and paperwork can feel overwhelming. Don’t worry — you don’t have to do it alone. Schedule a free consultation with the Clare Senior Care team, and we’ll guide you step by step, answer your questions, and help complete all the enrollment documents for you.

Welcome to Clare Senior Care. This form is the first step in joining our Adult Foster Care (AFC) program. Please provide accurate information about the member so our team can review eligibility and begin the enrollment process. All details are kept private and secure under HIPAA guidelines.

As part of the AFC enrollment process, Clare Senior Care staff will schedule a day to visit the member’s home. This inspection is required to ensure the environment is safe and meets program standards. Families do not need to prepare paperwork—our team will guide the process.

During the in-home assessment, Clare Senior Care staff provide a complimentary fall risk check-up. This quick review helps identify safety hazards and offers simple recommendations to keep the member’s home safer and more accessible.

Clare Senior Care helps seniors stay safe at home through MassHealth-funded programs like Adult Foster Care (AFC) and Group Adult Foster Care (GAFC), as well as private home health services. Our mission is to provide compassionate, culturally inclusive care that supports both seniors and their caregivers every step of the way. We help you handle the details so your loved one gets the care they deserve:

• Transportation – MassHealth covers all medical rides. We take care of approval and booking—just give us 3 days’ notice.

• Medication Refills – Tell us what’s needed, and we’ll coordinate directly with the pharmacy.

• Referrals & Medical Supplies – We can place and manage orders for you.

• Dental, Vision & Hearing – 100% covered for annual exams—essential for preventing isolation, depression, and dementia in seniors.

Adult Foster Care (AFC) is a MassHealth program that allows seniors and adults with disabilities to live safely at home with the support of a trained caregiver. Caregivers provide daily help with activities like bathing, dressing, and meals, while receiving a non-taxable stipend and ongoing support from Clare Senior Care’s nurse and case manager team.

Activities of Daily Living (ADLs) include basic self-care tasks like bathing, dressing, eating, and walking. Instrumental Activities of Daily Living (IADLs) are tasks that support independent living, such as cooking, shopping, managing money, and taking medications. MassHealth uses ADLs and IADLs to decide eligibility for programs like AFC and GAFC.

MassHealth’s Adult Foster Care (AFC) program has two levels of support.

• AFC Level 1 – For members needing help with 1–2 ADLs or reminders for daily tasks. Earn $350 every 2 weeks ($25/day) and receive 1 monthly CareTeam visit.

• AFC Level 2 – For members needing help with 3 or more ADLs, or 2 ADLs plus behavioral support. Earn $750 every 2 weeks ($53.57/day) and receive 2 monthly CareTeam visits.

Caregiver Challenge Bonus – Earn an extra $175 reward per month* for helping promote health and wellness for your loved one.

Our Welcome Letter is the first step in your journey with Clare Senior Care. It introduces our team, explains our mission, and outlines what you can expect as you join the AFC program. This letter is a warm greeting to you and your family, reminding you that we’re here to support you every step of the way.

As part of enrollment, caregivers complete HIPAA training to understand how to protect a member’s personal and medical information. This training ensures all care is delivered with privacy, security, and respect for confidentiality.

As part of enrollment, we ask every family to provide an emergency contact. This ensures Clare Senior Care can quickly reach someone you trust if urgent situations arise, keeping the member safe and supported at all times.

The Participant Agreement outlines the rights and responsibilities of joining Clare Senior Care’s AFC program. By signing, members and caregivers confirm they understand the program rules, services provided, and expectations for maintaining a safe and supportive home environment.

This agreement ensures that every member has a trained caregiver available at all times. If the primary caregiver cannot provide care, a backup caregiver is designated to step in. By signing, families confirm they understand the plan for safe and continuous support.

The Caregiver Training Log tracks all training sessions completed by caregivers in the AFC program. It ensures caregivers are fully prepared to provide safe, quality care and shows ongoing progress in meeting MassHealth requirements.

Clare Senior Care provides eligible members with an iPad on loan to support communication, training, and care coordination. This device helps families stay connected with our team, complete forms, and access telehealth or educational resources during the AFC program.

Clare Senior Care may provide a cell phone to support communication between caregivers, members, and our care team. This agreement explains proper use, care, and responsibility for the device to ensure reliable contact in emergencies and during daily care.

Clare Senior Care offers certificate-based training to prepare caregivers with the skills needed for safe, effective, and compassionate care. Completing this training provides caregivers with official recognition of their learning and ensures they meet MassHealth program standards.

If you prefer to learn at home instead of coming into the office, Clare offers the Personal and Home Care Aide State Training (PHCAST) online at no cost. This free program helps caregivers build skills and meet training requirements from the comfort of home.

This form is used to confirm referrals and verify care with your PCP or specialist under Commonwealth Care Alliance (CCA) insurance. Please complete and return so Clare Senior Care can coordinate services smoothly with CCA.

Clare Senior Care offers in-person training sessions to prepare caregivers with the skills and confidence needed for daily care. These hands-on classes cover essential topics like ADL support, documentation, safety, and emergency planning—ensuring caregivers are fully supported and ready to provide quality care at home.

QARI Counseling Center provides professional mental health support with Mandarin-speaking, master-level clinicians. The team is trained in evidence-based therapies including Cognitive Behavioral Therapy, Narrative Therapy, Solution-Focused Therapy, Expressive Therapy, and the AWARE Protocol—specialized for Asian women’s resilience and empowerment.

This training introduces the concept of Whole Person Care, guiding clinicians to see beyond symptoms and address the physical, emotional, and social well-being of each patient. It equips providers with tools to build stronger relationships, foster healing, and integrate holistic approaches into primary care practice.

Immersive Translate is a tool that helps caregivers and families read and understand content across different languages. It automatically provides side-by-side translations, making it easier for non-English speakers to access important information, forms, and training materials in their preferred language.

The HOPE Note is a patient-guided process that helps identify a person’s values, goals, and priorities for healing. Through the free HOPE Learning Course, clinicians and caregivers learn how to look beyond disease management—focusing instead on the whole person and promoting long-term health and well-being.

Commonwealth Care Alliance (CCA) Senior Care Options is a MassHealth and Medicare plan designed for adults 65+ who are dual eligible. This program combines medical, behavioral health, and social support services under one plan. Here, we review the key benefits of CCA SCO to help seniors and families understand how it may improve care, coordination, and quality of life.

Not every health concern requires a trip to the emergency room. The UMass Stay Healthy Symptom Checker helps families understand common symptoms, decide when self-care is enough, and know when professional medical attention is truly needed. It’s a simple tool to reduce unnecessary ER visits and keep care accessible.

Clare Senior Care invites seniors to join our free online Tai Chi classes. This gentle exercise improves balance, flexibility, and relaxation, helping reduce fall risks while boosting overall well-being—all from the comfort of home.

Some patients may express anger, hostility, or frustration due to pain, fear, or illness. This training helps caregivers and staff understand the reasons behind these behaviors and provides strategies to respond with empathy, professionalism, and boundaries—ensuring safe and respectful care for both patient and caregiver.