Determine how Medicaid-funded services in residential care settings will fit within the overall publicly funded long term care system. Decide what target population to serve at what level of care, and be sure that all the pieces of the long term care system work together.
Secure buy-in from providers, including nursing home providers, and consumer advocates. Don't sell assisted living as saving money by taking people out of nursing homes or diverting them from nursing homes. Even if there are no cost savings, it is still better to have more options than just the home and the nursing home.