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

12/01/2003

Waiver applicants have to meet the same level of care criteria as nursing home applicants. To receive Medicaid coverage of nursing home care, a physician must certify that an individual needs 8 hours of licensed nursing care (RN or LPN) per day, either direct care or oversight.

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