Michigan, AFC Homes, Public Act 218, Public Act 368, HFA Homes
Sep 25, 2023

Act 218 vs. Act 368: The Differences Between AFC and HFA in Michigan

Picture of Abby Kimmelman
by Abby Kimmelman

When it comes to choosing the right care setting for elderly loved ones in Michigan, it's important to understand the differences between Adult Foster Care (AFC) and Home for the Aged (HFA). The licensing requirement for these can be found in Act 218 of 1979 for AFC and Act 368 of 1979 for HFA. Both options offer unique benefits and cater to various levels of care needs. In this blog, we will explore the different types of care provided in AFC and HFA settings to help you make an informed decision.

Adult Foster Care (AFC)

Adult Foster Care (AFC) is a community-based residential care option in Michigan that is designed for individuals who require varying levels of assistance with daily activities but wish to maintain a more home-like environment. Here's a closer look at the type of care provided in AFC:

  1. Personalized Care Plans:

    • AFC homes emphasize personalized care plans tailored to each resident's specific needs and preferences.
    • Caregivers in AFC facilities work closely with residents to create individualized care plans that address everything from medication management to meal preparation and mobility assistance.
  2. Smaller Scale, Home-like Environment:

    • AFC homes are typically smaller in scale, accommodating a limited number of residents (no more than 20).
    • The smaller size fosters a close-knit, family-like atmosphere, where residents often build strong bonds with both caregivers and fellow residents.
  3. Assistance with Activities of Daily Living (ADLs):

    • AFC homes excel in providing assistance with Activities of Daily Living (ADLs), including bathing, dressing, grooming, and toileting.
    • Caregivers ensure that residents receive the necessary support to maintain their independence and dignity.

Home for the Aged (HFA)

Home for the Aged (HFA) facilities in Michigan offer a higher level of care and support, catering to individuals who may have more complex medical needs. Here's an overview of the type of care provided in HFAs:

  1. Comprehensive Medical Services:

    • HFAs are equipped to provide a broader range of medical services, including skilled nursing care, therapy services, and medical monitoring.
    • Residents with chronic conditions or complex health needs benefit from access to on-site medical professionals, including registered nurses.
  2. Larger Facilities:

    • HFAs are typically larger in scale and can accommodate a higher number of residents (often 20 or more).
    • These larger facilities may have specialized care units, such as memory care units for residents with Alzheimer's or dementia.
  3. More Institutional Setting:

    • Unlike AFC homes, which are often located in residential neighborhoods, HFAs are usually situated in commercial areas, leading to a more institutional feel.
    • The larger size and layout of HFAs may make it less conducive to building close-knit relationships among residents.

Choosing between Adult Foster Care (AFC) and Home for the Aged (HFA) in Michigan depends on the specific needs and preferences of your loved one. AFC offers a home-like environment with personalized care plans and a smaller scale, emphasizing assistance with daily activities. In contrast, HFA provides comprehensive medical services in a larger, more institutional setting. Both AFC and HFA options aim to provide quality care and support for Michigan's elderly population, ensuring their safety, dignity, and quality of life as they age gracefully.

If you are interested in learning how ECP can improve quality of care, fill in your email below for a personalized demo.

Note - The information provided on this website does not, and is not intended to, constitute legal advice; instead, all information, content, and materials available on this site are for general informational purposes only. ECP makes no warranties as to the accuracy of this content and does not commit to updating it as regulations change. Readers of this website should contact their attorney to obtain advice with respect to any particular legal or compliance matter.


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