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


The consensus among those interviewed was that national standards were not warranted, although some advantages were noted.

  • Texas is farther ahead than other states in terms of instituting assisted living licensing and regulations.

  • While federal model guidelines for services could be useful, regulations and licensing should be a state prerogative. Federal regulations might stifle state creativity.

  • Texas has done a good job of addressing licensing and regulatory issues, including aging in place. Our regulations are progressive; we have a special license for facilities that serve clients with Alzheimer's disease (Type B ALF). One company that has several assisted living facilities has gone beyond state standards by always providing private rooms.

  • The American Association of Homes and Services for the Aging (AAHSA) has formed a workgroup to look at national assisted living standards and is moving towards identifying some commonalities. However, the Texas arm of AAHSA does not have a formal opinion on the issue.

  • If Medicaid funding is involved, I wouldn't be surprised to see national standards established.

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