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Our Process

A clear path, from first call to daily care

No confusing intake, no runaround, no guessing what comes next. Here is exactly how we bring care into a family's home — five steps, each one explained.

A compassionate care coordinator meeting with a senior
The path at a glance

Five steps, start to finish

This is the whole journey on one line. Below, we open up each step so you know precisely what to expect.

  1. 01

    Contact

    Reach out by phone or the form. We listen, answer questions, and explain your options — no pressure, no cost.

  2. 02

    Assessment

    A care manager and nurse meet you at home to understand daily needs, health history, and what matters most.

  3. 03

    Enrollment

    We confirm MassHealth eligibility and handle the paperwork to enroll your loved one and their caregiver.

  4. 04

    Care Begins

    Once eligibility, clinical review, required authorization, and onboarding are complete, your caregiver is trained and supported and the personalized plan of care goes into action.

  5. 05

    Ongoing Support

    Regular nurse visits, care-plan reviews, and a team that adapts as needs change over time.

A note on timing. Enrollment timing varies from family to family. Services and caregiver payments begin only after eligibility, clinical review, required authorization, and onboarding are completed. MassHealth verification, physician documentation, health-plan review, background checks, and training schedules all affect how long each step takes. We move as quickly as your documentation allows and tell you honestly where things stand.

Step by step

What each step actually involves

A compassionate care coordinator meeting with a senior
01
A single call, about 15–20 minutes

Contact

Reach out by phone or the form. We listen, answer questions, and explain your options — no pressure, no cost.

What happens
During business hours you reach a member of our local care team. We listen to what's going on at home, explain how AFC and GAFC work, and give you an honest read on whether we're likely a fit.
What your family does
Just tell us the story. Where does your loved one need help, what does a typical day look like, and what's worrying you most? No paperwork required to start.
A visiting nurse checking on a senior during a home visit
02
A visit of roughly 60–90 minutes

Assessment

A care manager and nurse meet you at home to understand daily needs, health history, and what matters most.

What happens
A care manager and a registered nurse come to the home. They review health history, watch how daily routines actually go, and document the level of hands-on care needed for MassHealth.
What your family does
Have the member's medications and any recent medical information nearby. Speak openly — the more the nurse understands, the better the plan of care fits real life.
A registered nurse discussing a personalized care plan with a patient
03
Timing varies — see the note below

Enrollment

We confirm MassHealth eligibility and handle the paperwork to enroll your loved one and their caregiver.

What happens
We verify MassHealth eligibility, confirm who will serve as the paid caregiver, and complete the enrollment paperwork on your behalf. We keep you updated at every checkpoint. How long this takes depends on MassHealth verification, physician documentation, health-plan review, and any required authorization.
What your family does
Provide the documents we request (MassHealth ID, proof of residency, physician contact) and review the plan we prepare. We chase the rest of the forms so you don't have to.
A caregiver assisting an older adult with daily activities at home
04
Begins after authorization and onboarding

Care Begins

Once eligibility, clinical review, required authorization, and onboarding are complete, your caregiver is trained and supported and the personalized plan of care goes into action.

What happens
Services and caregiver payments begin only after eligibility, clinical review, required authorization, and onboarding are completed. The caregiver completes orientation and hands-on training, and the personalized plan of care goes into action. From the day care starts, our support starts with it — nobody is left to figure it out alone.
What your family does
Settle into the new routine with your caregiver. Keep our number close for anything that comes up in those first days; questions are expected and welcome.
Three generations of a family sharing a warm moment at home
05
For as long as care is needed

Ongoing Support

Regular nurse visits, care-plan reviews, and a team that adapts as needs change over time.

What happens
A registered nurse visits regularly, reviews and adjusts the plan of care, and coordinates with physicians. As needs change, the care changes with them.
What your family does
Stay in touch. Tell us when something shifts — a new diagnosis, a hospital stay, a hard week. We adapt the plan and the support around what's actually happening.
The in-home assessment

What to expect on the first visit

The home assessment is the step families wonder about most. Here's the honest picture so nothing feels unfamiliar when we arrive.

Who will be there

A care manager and a registered nurse. You're welcome to have any family members present who help with care or decisions.

How long it takes

Plan for about an hour to ninety minutes. It's a conversation and an observation, not a test — there are no wrong answers.

What they'll look at

Daily routines, mobility, the home setup, and where hands-on help is needed. The goal is a plan that fits your actual home.

What happens after

We summarize the care need, confirm eligibility, and outline enrollment. You'll leave the visit knowing the next step.

You're not doing this alone

The pace is set by your family, not a clipboard. If you need to slow down, ask a question twice, or step back and think — that’s all part of the process.

From the first call through every nurse visit, one team stays with you. We keep the paperwork moving, translate the MassHealth details, and make sure the care keeps fitting real life as it changes.

Ready when you are

Start with a single phone call

Step one is just a conversation. Tell us what's happening at home and we'll walk you through the rest, one step at a time.

No cost to explore · No obligation · MassHealth-covered care