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


  • If at all possible, have the responsibility for policy in one administrative agency that designs programs, pays for Medicaid, regulates the entire long term care system, and encourages development of the residential care sector. Having a single administrative agency can help to ensure that licensing rules will be effective for both private pay and Medicaid clients.

  • Good lines of communication between the program and licensing staff are essential when developing the licensing requirements and establishing program operating procedures.

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