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


One respondent stated that overall, the regulations for dementia care are "pretty good," and that the state has an overlay of rules for RCFs and ALFs for dementia clients, but they are not applicable to AFHs because they serve such a small number of residents.

  • Providers have to have a higher ratio of caregivers to residents. Adult foster homes and smaller RCFs tend to take care of them. These facilities are usually smaller and better for people with dementia.

  • The solution to providing good dementia care is not regulations, but enforcement of existing ones. If providers are not meeting the needs of residents with dementia, there should be sanctions.

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