Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Level of Care Criteria


To receive Medicaid coverage of nursing home care, individuals must meet all of the following eligibility criteria:

  • Have a long-term illness or disability
  • Have a medical condition requiring long-term maintenance and prevention
  • Need help with two or more IADLs
  • Need assistance with two or more ADLs or daily supervision to ensure safety


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