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


The Medicaid program does not consider money paid to an assisted living facility for a private room or for services and supplies not covered by Medicaid to be in-kind income to the Medicaid beneficiary. However, payments must be entirely voluntary and not a condition of providing services, and must be paid directly to the residential care setting.

Regardless of state rules regarding family supplementation, SSI recipients will have their federal benefit reduced by the amount of the family supplement--to a maximum of one third of the SSI payment. The family has to pay the facility the amount that is reduced as well as its initial contribution.

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