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


With few exceptions there was agreement that national model standards for assisted living would not be helpful. There was a sense that Minnesota has developed a unique approach to providing services in residential care settings and would not adopt national standards if it required abandoning their approach.

  • Our approach provides freedom of choice but we want to make sure that quality issues don't arise--both because of their human cost and because they can lead to over-regulation with its attendant costs. It's in everyone's best interest to assure quality.

  • The industry has carved out something unique and is fighting hard so it won't be changed. Even a little tweaking is seen as threatening.

  • The Assisted Living Workgroup (in DC) has 110 recommendations--they've said they don't want the feds to regulate, so they've sent recommendations to the states. In August we're having a town hall meeting to discuss the recommendations and the current state regulations. The meeting is for providers and the state Attorney General will attend, because in Minnesota, the attorney general enforces the regulations against Medicaid fraud and regulations regarding landlord / tenant relations.

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