State Residential Care and Assisted Living Policy: 2004. Notes on State Summaries

03/31/2005

Each state summary includes the regulatory or statutory citation and category name and includes information on the following, when available:

  • a description of the state’s approach to assisted living or board and care,
  • the term(s) used to define facilities,
  • unit requirements,
  • tenant admission and retention policies,
  • services that may be provided and negotiated risk agreements,
  • dietary provisions and policies,
  • tenant agreements,
  • provisions for people with dementia,
  • medication assistance,
  • financing, including the availability of Medicaid reimbursement for low-income residents,
  • nursing facility level of care,
  • staffing requirements,
  • training requirements for staff,
  • background checks,
  • monitoring of facilities, and
  • licensing fees.

The information for each state is based on statutes, regulations, and draft regulations. Information based on draft material is presented to indicate the potential direction of state policy. Final rules may vary from the source material. The Medicaid nursing home level-of-care criteria are included for all states to allow comparison with admission/retention criteria and highlight the functional eligibility requirements for home and community based services waivers (several states use the Medicaid state plan to pay for services in residential settings, which has different financial and functional eligibility criteria than waivers).

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