Residential Care and Assisted Living Compendium: 2007. State Policy Regarding Room and Board Payments

11/30/2007

About half of the states limit the amount that facilities can charge Medicaid beneficiaries for room and board -- usually to an amount equal to the federal SSI payment plus a state supplement (if offered). Others do not restrict the amount that can be charged, but providers need to understand their states’ income-eligibility rules and cost sharing requirements to determine how much Medicaid beneficiaries can afford. Persons eligible for Medicaid because they are receiving SSI have no income other than the federal payment and a state supplement (if any). Forty-four states provide supplements, which vary considerably. However, most are less than $100 a month. Some states pay different supplements depending on living arrangement. Even in states that use the 300 percent of SSI income-eligibility standard for its HCBS waiver program ($1,869 a month in 2007), beneficiary cost sharing requirements can reduce the amount of income available to pay for room and board.

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