Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. 1. Medicaid Options for Providing Services in Residential Care Settings


States have the option of paying for custodial care -- including personal care -- in residential care settings through state funded supplemental payments to SSI recipients. The disadvantage for the states in using this option is that the supplement is not matched by federal funds. States also have the option to pay for personal care and other long term care services in residential care settings through the Medicaid state plan personal care option and the home and community-based services (HCBS) waiver program. This section describes these options and the six states' reasons for choosing particular options.9

9, The information in this section is summarized from Chapter 5 of Understanding Medicaid Home and Community Services: A Primer. [Full HTML ReportFull PDF Report] Op. cit. The complete text of Chapter 5 can be found in Appendix H.

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