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


  • RCACs serve 5 or more residents in single occupancy apartment units and there is no limit on the number of units in RCACs; 69 percent of facilities offer one bedroom apartments and 51 percent have studios; 37 percent have 2-bedroom units, though generally only a few.

  • Facilities can include a mix of independent living units and RCAC units, and approximately one third do so. About a third are freestanding facilities and two thirds are in a campus setting.

  • RCACs are generally full, with an average occupancy rate of 87 percent. Fifty-five percent of RCACs have waiting lists, with an average of 17 people on the waiting list.

  • RCACs serve a predominantly private pay clientele. Only 189 people in RCACs are receiving waiver services--four percent of all RCAC residents.

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