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


  • The state is planning to move from a tired rate for Medicaid personal care in adult care homes to a case mix reimbursement system that will be based on assessed needs. The state wants an assessment to determine what someone needs and how much the state should be paying for services. The state thinks it is paying too much for some and not enough for others. The state is waiting to get the assessments of Medicaid enhanced care (required since 1996) computerized to do the data analysis needed to support a case mix reimbursement methodology.

  • A number of stakeholders are working with the General Assembly on a bill to allow family supplementation in assisted living facilities.

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