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


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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