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


Oregon prohibits family supplementation and North Carolina allows it only in nursing homes. Florida, Minnesota, Texas, and Wisconsin allow it in residential care settings. Some respondents in Oregon and North Carolina recommended that families be allowed to subsidize the cost of a private room for people who spend down in residential care because it can improve the quality of life for Medicaid clients who otherwise would have to move from private to shared living quarters.

In addition to the general areas discussed above, respondents in each state also made suggestions for improving various aspects of the residential care system specific to their state.

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