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


A few respondents in Wisconsin commented that access can be limited in those parts of the state that have few residential care facilities and service providers. One noted that the state does not have a planning process to determine where residential care settings and nursing homes should be built, leading to overbuilding in some areas and inadequate supply in others. In some counties there may not be a facility within 100 miles of a person's home.

In Minnesota, where assisted living is a service model that can be provided in multiple housing types, only one person said that geographic maldistribution was a problem. A recent survey on the availability of housing with service settings in Minnesota reported variations of one facility per 5,000 persons to one facility per 10,000 persons.

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