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


Services in ALFs can be paid through a number of mechanisms:

  • Combined SSI/OSS payment for room and board

  • Assistive Care Services (ACS) under the Medicaid Personal Care option

  • Medicaid Assisted Living for the Elderly (ALE) waiver program

  • Payment from private resources of the resident or family for the full cost of room and board and services, or to supplement public payment sources. About 80 percent of ALF residents are 100 percent private pay.

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