Adult Foster Care - General Information
Adult Foster Care (AFC) is a licensed, sheltered living arrangement for up to four adults with special needs; these adults are unable to live alone due to their functional impairments. An adult foster care license holder may have a maximum license capacity of five if all persons in care are age 55 or over and do not have a serious and persistent mental illness or a developmental disability.
AFC homes provide five basic services: room, board, supervision, protection, and household services. Providers may also assist with medication, management of money, or personal care.
Room and Board
Many AFC providers accept private pay AFC residents. These AFC residents are not receiving funding through the county because they do not qualify due to their assets, or their families choose to pay for the AFC placement. The rate for services provided to the AFC resident is determined by the AFC provider and the AFC resident/family/legal representative.
To learn more about becoming an HCBS Waiver provider, click here. All questions relating to the 245D must be directed to the MN Department of Human Services. For 245D-HCBS licensing standards, email DHS.245Dlicensehelp@state.mn.us. For questions about the 245D-HCBS on-line application, call 651-431-6624.
Tax on Payments
Family Adult Foster Care is based in a family home. The resident is usually unknown at the time of licensure, and AFC residents are most often placed in the home for a long-term placement.
Family Adult Day Services is a program operating fewer than 24 hours per day that provides functionally impaired adults age 18 or older with an individualized and coordinated set of services including health services, social services, and nutritional services that are directed at maintaining or improving the participants' capabilities for self-care. The capacity can be up to eight participants. An AFC license holder can provide FADS services if all of the requirements of MN Statute 245A.143 are met in addition to the AFC requirements; the capacity would be limited to five participants in this case.
Corporate Adult Foster Care is provided at a site where the license holder does not live in the home. The license holder hires shift staff to care for the residents. At this time, there is a moratorium (ban) on the development of new corporate adult foster care homes. MN Statute 245A.03, Subdivision 7.
256B.0919 ADULT FOSTER CARE AND FAMILY ADULT DAY CARE. Subdivision 3. County certification of persons providing adult foster care to related persons.
A person exempt from licensure under section 245A.03, subdivision 2, who provides adult foster care to a related individual age 65 and older, and who meets the requirements in Minnesota Rules, parts 9555.5105 to 9555.6265, may be certified by the county to provide adult foster care. A person certified by the county to provide adult foster care may be reimbursed for services provided and eligible for funding under section 256B.0915, if the relative would suffer a financial hardship as a result of providing care. For purposes of this subdivision, financial hardship refers to a situation in which a relative incurs a substantial reduction in income as a result of resigning from a full-time job or taking a leave of absence without pay from a full-time job to care for the client.
Determination of eligibility for relative certification begins with the elderly individual being assessed and qualified for the Elderly Waiver by a screening team social worker. If the above definition of hardship has been met, the screening team social worker will make a referral to the adult foster care licensor. Applicants for relative certification undergo the same initial and renewal processes as applicants for licensure. The agency's decision to certify a person to provide adult foster care to related persons is not subject to appeal.
If you live in Wright County, please contact the licensor by email at firstname.lastname@example.org. If you do not live in Wright County, please contact your local county social services department; click here for contact information for Minnesota counties.