Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Non-Certified Boarding Care Homes


Non-certified boarding care homes are licensed as health care facilities by the Minnesota Department of Health, but they are often quite homelike. These homes are not certified to participate in the Medicaid waiver program, although qualifying residents may receive Medicaid waiver services provided under a home care license from an outside provider. They may also register as a Housing with Services establishment provided they obtain a home care license.

  • These settings may not accept or retain residents for whom care cannot be provided in keeping with their physical, mental, or behavioral condition.

  • At least five percent of the rooms in these settings must be designed for single-person occupancy (one bed) and have private toilets. At least 75 percent of the beds must be located in rooms designed for one or two beds. No room may have more than four beds.

  • In existing facilities, the usable floor area per bed shall not be less than 100 square feet for single rooms; 80 square feet for two-bed rooms; and 70 square feet for three- or four-bed rooms. In new construction the usable floor area per bed shall not be less than100 square feet for single rooms, and 80 square feet for two-, three-, or four-bed rooms.

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