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

12/01/2003

  • Newly constructed CBRFs must have at least 100 sq. ft. of floor area in each single and 160 sq. ft. in each double occupancy bedroom. Minimum bedroom floor area for existing buildings is 60 sq. ft. per resident for multiple occupancies and 80 sq. ft. for single occupancies in facilities serving ambulatory residents only, and 80 and 100 sq. feet for single and multiple occupancies respectively in facilities serving semi-ambulatory and non-ambulatory residents.

  • The proportion of CBRF beds in single rooms depend on the county and the population served. There are many small facilities with eight beds and dual occupancy rooms. Larger facilities tend to offer private rooms and baths, generally to meet the preferences of private pay residents. The newer, larger facilities generally have only private rooms, but there is considerable variability regarding private baths.

  • Whether or not Medicaid clients have private rooms depends on the availability of these rooms in a given county, and the county's willingness to pay for private rooms using state Community Options Program funds. Facilities enrolled in the Family Care pilot program vary in the number of private units available from 20 percent to 75 percent of total units. The percent of Medicaid clients in private rooms varies considerably by county, most likely reflecting the availability and cost of private rooms in each county.

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