Understanding Connecticut’s Adult Family Living Program
Caring for an aging loved one at home can be both meaningful and demanding. Connecticut’s Adult Family Living (AFL) program is designed to help eligible older adults receive care in a private home setting while offering structured support through Medicaid-funded services.
While not everyone qualifies, families who are eligible may find AFL to be a valuable option for supporting aging loved ones outside of institutional care.
What Is the Adult Family Living Program?
The Adult Family Living (AFL) program is a Connecticut Medicaid home- and community-based program that allows eligible individuals age 65 and older to receive care while living in a private home, often with a family member or trusted individual.
The program is administered by the Connecticut Department of Social Services (DSS) through state-authorized intermediary agencies. Eligibility and enrollment are determined by the State of Connecticut.
Who May Be Eligible?
Who May Be Eligible
- Are 65 years of age or older
- Are enrolled in Connecticut Medicaid (Title 19) (Medicare alone does not qualify)
- Live in Connecticut
- Require assistance with day-to-day activities
- Are able to direct their own care or have a representative who can do so
- Live in the same household as their caregiver
Who May Serve as a Caregiver
- An adult child (18+)
- Another relative
- A friend who lives in the home
- In certain circumstances, a legal spouse or legally responsible individual, subject to program rules and approval
Caregivers must live in the same residence as the individual receiving care and provide support based on an approved plan of care.
How Does the Program Work?
Participation in the AFL program typically includes:
- A needs assessment conducted by DSS
- Development of an individualized care plan
- Ongoing oversight through approved state channels
- Support for caregivers based on the individual’s level of need
Why Consider the AFL Program?
Families may consider AFL because it:
- Allows loved ones to remain at home
- Encourages family-centered care
- Supports independence and familiarity
- Helps reduce reliance on nursing facility care
Getting Started
The first step is learning whether the Adult Family Living (AFL) program may be an appropriate option based on individual needs and eligibility requirements.
Eligibility determinations and applications for the AFL program are completed through official State of Connecticut channels, including assessments conducted by the Department of Social Services. Families may be asked to provide information related to medical needs, daily living support, and financial eligibility as part of the review process.
Serenity Care at Home does not determine eligibility or administer the AFL program. However, we can help families understand how the program works, explain what to expect during the application process, and identify appropriate public resources for next steps.
For families caring for an aging loved one, understanding available options may be an important step toward supporting comfort, safety, and quality of life at home.
Need More Information?
If you have general questions about care options or would like help understanding available programs, our team is available to provide additional information.
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