Adult Family Living Program / Caregiver Homes of Connecticut

Page Reviewed / Updated - Jul. 2016

Program Description

Adult Family Living (AFL), which is also referred to Caregiver Homes of Connecticut, is a program the helps frail elderly individuals to remain living in private homes instead of moving into assisted living communities or nursing homes.  The program works by providing financial assistance and support for family members or friends that act as both primary in-home caregivers and hosts of an elderly individual.  One might best understand the program by thinking of it as foster care for adults.

In 2013, AFL was added by the Connecticut Department of Social Services as a service offered under the Connecticut Home Care Program for Elders and the Personal Care Assistance Waivers.  While it shares eligibility criteria, the service provided is sufficiently unique that it will be discussed here as a separate program.

Under AFL / Caregiver Homes, an elderly individual moves into the home a family member or friend or the family member or friend moves into the elderly individual's home.  The family member or friend is designated as their primary caregiver, they receive training, oversight and support from an intermediary agency certified by the state.  They receive compensation for providing the elderly individual with assistance completing their activities of daily living.  AFL has four levels of compensation for the care providers.  Payment ranges from approximately $43 / day to $108 / day.  However, the family caregiver works through an intermediary agency and that agency takes a percentage of the daily rate estimated at between 20% - 40%.  


Eligibility Guidelines

The AFL program is open to Connecticut residents statewide who are eligible for the Connecticut Home Care Program for Elders (CHCPE) or the Personal Care Assistance (PCA) Waivers.   Review CHCPE eligibility criteria here and PCA eligibility criteria here.

In summary, care recipients must have both functional need for care and a financial need.


Benefits and Services

Benefits of the AFL / Caregiver Homes program should be thought of on two levels: the benefits to the individual in need of care and the benefits received by their care provider. 

Care recipients receive personal care, supervision, assistance with the activities of daily living such as eating, bathing, dressing and mobility.  In addition, they receive assistance with the instrumental activities of daily living such as transportation, shopping and meal preparation.  They also receive the benefit of aging in a family home with care being provided by someone with whom they are comfortable and familiar.

Care providers receive compensation for their caregiving efforts.  In the case of family members, they receive compensation for care they would otherwise likely have provided free of charge.  AFL offers four levels of compensation depending on the care needs of the individual.  However, caregivers do not receive the full amounts listed below.  They should expect between 60% and 80% of these amounts. The following levels are current as of July 2016. 

  • Level 1: $43.01 / day for individuals who require daily supervision and assistance with one “Activity of Daily Living”.
  • Level 2: $64.03 / day for individuals that require daily hands-on assistance with 2 or more “Activities of Daily Living.”
  • Level 3: $78.05  / day for individuals who require hands-on assistance with 3 or more “Activities of Daily Living,” or 2 “Activities of Daily Living” and have cognitive or behavioral issues.
  • Level 4: $108.13 / day for individuals who required hands-on assistance with 4 or more “Activities of Daily Living,” or 3 “Activities of Daily Living” and have cognitive or behavioral issues.

Again, it should be noted that if the family member who provides care works with intermediary agency, they will not receive this full amount.  


How to Apply / Learn More

For questions about the program or to apply, visit the website of the CHCPE Alternative Care Unit of the Connecticut Department of Social Services here.