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


  • ALFs have six or more single occupancy apartments that are fully accessible with a lockable door, private bathroom, and kitchenette facilities. Units must provide 220 square feet of space, not including a private bathroom. Units in pre-existing structures may provide 160 square feet, not including the bathroom.

  • To assure personal choice, an individual written exception is required for each resident who chooses to share a unit with someone other than his/her spouse.

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