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


Most respondents had not heard of these agreements or any issues related to them. One felt that the state needed to provide more guidance to providers regarding their use, predominantly in private pay assisted living.

  • Some facilities are using them. They get forms from their national associations and get their attorneys to review them. They deal with things like wanting rugs in their rooms that could pose a fall hazard, and diabetics who want to eat apple pie. The state can cite you for not enforcing special diets. If would be helpful if the regulatory agency identified areas that are not appropriate for shared risk agreements. The state should help to define parameters for shared risk agreement. The county monitors also need to understand them.

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