Massachusetts Adult Foster Care Reimbursement Rates

Medicaid State Plan Amendments

Published November 1st, 2025

Detected March 30th, 2026

Summary

CMS approved Massachusetts State Plan Amendment MA-25-0034 updating Adult Foster Care (AFC) reimbursement rates effective November 1, 2025. The amendment supersedes the previous version (24-0029) and establishes new fee-for-service rates published under Massachusetts regulations 101 CMR 351.00. All AFC providers delivering services under Massachusetts Medicaid must use the updated rates for services rendered on or after the effective date.

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What changed

CMS approved Massachusetts SPA MA-25-0034, which updates fee-for-service reimbursement rates for Adult Foster Care services, including Group Adult Foster Care, effective November 1, 2025. The amendment supersedes the prior version (24-0029) and was approved on March 26, 2026. All rates are published on Massachusetts state regulations website.

Adult Foster Care providers participating in Massachusetts Medicaid should access the updated rate schedule at 101 CMR 351.00 and ensure billing systems reflect the new rates for services provided on or after November 1, 2025. The state-developed fee schedule applies uniformly to both governmental and private providers. No specific compliance deadline or penalties were identified beyond standard Medicaid program requirements.

What to do next

Access updated AFC rate schedule at mass.gov/regulations/101-CMR-35100-rates-for-certain-adult-foster-care-services
Update billing systems with new AFC rates effective November 1, 2025
Ensure claims for services on or after November 1, 2025 reflect the new reimbursement rates

Source document (simplified)

MA-25-0034

This file contains the following documents in the order listed:

Approval Letter
CMS 179 Form/Summary Form (with 179-like data)
Approved SPA PagesState/Territory Name:MassachusettsState Plan Amendment (SPA) Attachment 4.19-B Page 3b State Plan under Title XIX of the Social Security Act State: Massachusetts Methods and Standards for Establishing Payment Rates – Other Types of Care ______________________________________________________________________________________ Adult Foster Care (AFC) Adult Foster Care (AFC) - The fee-for-service rates for Adult Foster Care Services, inclusive of Group Adult Foster Care services, are effective for services provided on or after November 1, 2025. All rates are published on https://www.mass.gov/regulations/101-CMR-35100-rates- for-certain-adult-foster-care-services. Except as otherwise noted in the plan, state-developed fee schedule rates are the same for both governmental and private providers.

TN: 25 -0034 Approval Date: Effective: 11/1/25 March 26, 2026 Supersedes: 24-0029