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Servicing the State of Massachusetts  •  Hablamos Español
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AG Adult Foster Care is here to assist you with both long-term or respite solutions, providing excellent and professionally trained staff for your personal in-home care.

AG Takes Care...

Services

Live-in Home Care

There may come a point in time when performing everyday household tasks becomes more difficult for you or a loved one. Whether this is the result of a medical condition, disability, or simply part of the aging process, at AG Adult Foster Care, we understand how difficult this can be for the family. That’s why AG Adult Foster Care offers the best household services. Our professional and trustworthy caregivers ensure you or your loved one is staying healthy and safe by providing assistance with many household activities, with services ranging anywhere from a few hours to 24-hours a day, 7 days a week. AG Adult Foster Care Household Services are a great option for beginning the process of using outside assistance within the home, while also providing a regular “check-in” for concerned family members when necessary.

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Care Manager

Responsible for coordinating care and monitoring the needs of the member in conjunction with the registered nurse. Care management performed by the AFC Care Manager include the following activities:

  1. conducting initial and ongoing psychosocial evaluation of a member's appropriateness for AFC;

  2. evaluating, supporting, and training AFC Caregivers;

  3. assisting with the development of the member's interim and final AFC plan of care with input from the member or responsible party, all members of the MDT, and other individuals designated by the member;

  4. ensuring implementation of the AFC plan of care;

  5. conducting on-site visits with each member at the qualified setting;

  6. assisting with coordination of AFC with any other health services or supportive services the member is receiving from MassHealth, a managed care organization, an accountable care organization or other agencies or organizations including, but not limited to, visiting nurse services, therapy services, Department of Developmental Services (DDS) services, Department of Mental Health (DMH) services, and Massachusetts Rehabilitation Commission (MRC) services;

  7. assisting with making referrals to appropriate service providers if the member requires services other than those provided by the AFC provider.

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Caregiver
Caregivers can be family members or non-family members. However, caregivers cannot be spouses, parents of minor children, or legally responsible relatives. Caregivers must be approved by the program (interview, references, CORI check, etc.), and be able to provide 24-hour supervision.  Caregivers receive a reasonable stipend for their services, and receive appropriate training required by MassHealth.
Caregiver responsibilities include the following:
  1. supervise and assist with ADL’s, IADL’s, and any other personal care of a member that is necessary for the member's health and well-being;

  2. monitor and report any nonurgent or nonemergency changes in the member's medical condition to the member's AFC provider. In cases of emergency, the AFC caregiver must report directly to the most appropriate provider and follow up with the AFC provider;

  3. complete a caregiver log;

  4. provide ongoing supervision to the member of health-related activities, such as:

  • issuing reminders to the member about prescribed medications;

  • timely refilling of the member's prescriptions;

  • assisting with or arranging for member transportation to medical and other appointments;

  • assisting the member to comply with health-care instructions from health-care providers; and promptly arranging for medical care that the member needs.

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Registered Nurse

Registered nurses fulfill a variety of job duties. In addition to the primary role in treating and caring for patients, their responsibilities also include educating patients and the public about a variety of medical conditions, as well as providing emotional support and advice to the families of their patients.  Some duties include:

  1. completing or coordinating all applicable clinical assessments and clinical evaluations;

  2. developing the member's interim and final AFC plan of care, with input from the member or responsible party, all members of the MDT, and other individuals designated by the member;

  3. completing a semi-annual health status report for each member;

  4. ensuring implementation of the AFC plan of care;

  5. coordinating the delivery of AFC with any other health services or supportive services the member is receiving from MassHealth or other agencies or organizations, including, but not limited to, visiting nurse services, therapy services, Department of Developmental Services (DDS) services, Department of Mental Health (DMH) services, and Massachusetts Rehabilitation Commission (MRC) services;

  6. conducting on-site visits with each member at the qualified setting;

  7. completing a nursing progress note for each on-site visit or encounter and upon significant change;

  8. monitoring each member's health status and documenting those findings in the member's medical record for each on-site visit or encounter, or more often as the member's condition warrants;

  9. educating the member about hygiene and health concerns;

  10. reporting changes in the member's condition to the member's PCP;

  11. coordinating and implementing the PCP form and approval for AFC with the member, AFC caregiver, and AFC provider personnel.

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