Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Concerns about Future Capacity in the Waiver Program


Currently, insufficient capacity is not an issue in Minnesota. But due to the potential for budget cuts, several respondents expressed concerns about sufficient funding for the waiver program in the future.

  • There is no waiting list and everyone who needs assisted living services under the waiver receives them. But more and more people are getting the Assisted Living Plus service package, which includes the requirement for 24 hour supervision, and this is the more expensive option for waiver services. If costs continue to increase for this service package, the waiver may be capped.

  • At this point in time the governor's budget does not cut the funds too severely for the elderly in assisted living--but younger disabled clients have been capped. If our costs continue to grow we may see that happening for the elderly as well. The costs have shot up in the Assisted Living Plus program--our numbers looked really good prior to the inclusion of the Assisted Living Plus option. Assisted Living Plus has been in place a couple of years and that has made program costs look similar to nursing home cost, but overall they can do an average cost per client that is less.

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