Only one respondent had a specific recommendation for other states interested in using Medicaid to pay for services in residential care.
It's important to have good lines of communication between the program and licensing staff when developing the licensing requirements for assisted living and establishing program operating procedures. The Texas Department of Human Services now houses both program and licensing staff, which has facilitated communication.
I also recommend that a state reach a consensus on what population will be served (specific client characteristics) and secure buy-in from providers (including nursing home providers) and advocates. A state may have to convince advocates that assisted living is a valid option under community care.