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


Two groups are financially eligible for Medicaid state plan services, including Assistive Care Services:

  • Group A includes individuals eligible for Supplemental Security Income (SSI) ($552) or those determined eligible for optional state supplementation (OSS).

    Individuals who have monthly incomes below $630.40 ($1260.80 for a couple) and who live in residential care settings are eligible for OSS. They are allowed to keep a $54 personal needs allowance and the remainder ($576.40) is used to pay for room and board, which is the maximum that Medicaid residents can be charged.

  • Group B includes individuals with incomes up to 88 percent of the federal poverty level ($659.00 for an individual and $888 for a couple) who are enrolled in the Medicaid for Aged or Disabled program. The State uses 1902(r)(2) less restrictive income and resource methodologies for this group.

Florida's Medically Needy program does not cover Assistive Care Services.

View full report


"med4rcs.pdf" (pdf, 3.73Mb)

Note: Documents in PDF format require the Adobe Acrobat Reader®. If you experience problems with PDF documents, please download the latest version of the Reader®