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Revision 26-1; Effective Feb. 20, 2026
An adult foster care (AFC) home is a living arrangement that provides personal care services (PCS) to members who cannot continue independent functioning in their own homes due to physical or mental limitation. These residences provide a home-like environment offering services such as help with daily living, meal preparation, housekeeping, companion services, personal care, nursing tasks and transportation. The member must live with a contracted STAR+PLUS HCBS program AFC home provider.
The managed care organization (MCO) determines AFC home services to develop the individual service plan (ISP) through completion of Form H6516, Community First Choice Assessment or Form H2060, Needs Assessment Questionnaire and Task/Hour Guide.
STAR+PLUS HCBS program AFC members must pay for their own room and board (R&B) charges and copayment charges to the AFC home provider. The only time the R&B charge is not required is when the AFC home provider moves in with the member and the member's home becomes the AFC home.