Understanding Medicaid Home and Community Services: A Primer, 2010 Edition. Chapter 5. Providing Medicaid Services in Community Residential Settings


This chapter provides guidance to states about selecting coverage options for services in a wide range of residential care settings that are provider owned and/or operated, encompassing foster care, group homes, and residential care facilities, including those called assisted living. When a state is faced with different ways of covering services, the tasks of choosing among the coverage alternatives and defining the precise services to be provided in specific settings require a detailed analysis of each alternative in the context of a state’s broader service system.1

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