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


  • The barriers to expanding assisted living for low-income elderly persons in general and Medicaid eligible persons in particular are limitations in the state budget and the cost of liability insurance.

  • Lack of money is the main barrier.

  • People in residential care are not eligible for public benefits such as food stamps. I think facilities don't qualify if they have over 22 beds. They also don't qualify for energy rebates, like the other community programs.

  • Combining funding streams would probably help, but it's extremely difficult to do so; most people do not have the inclination.

  • We had HUD housing and have applied to do a conversion, but in Florida the waiver is attached to a person not to a building. If I convert a floor using HUD dollars, I still need somebody to subsidize the care for the residents.

  • We need to get additional dollars, not just take money from the nursing home budget.

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