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

12/01/2003

The Residential Care program provides services to eligible adults who require 24-hour access to care, do not require daily nursing interventions, and do not meet waiver level-of-care criteria. Services include, but are not limited to personal care, home management, 24-hour supervision, social and recreational activities, and transportation. Services provided under this program are delivered through one of two arrangements:

  • Supervised living is a state-funded 24-hour living arrangement, e.g., an assisted living facility, in which clients are expected, if able, to contribute to the cost of their care. Clients also pay for their room and board, which is limited to the SSI payment minus a personal needs allowance.

  • Emergency care is a state-funded living arrangement that provides services to eligible clients while caseworkers seek a permanent care arrangement. Emergency care clients do not contribute toward the cost of their care.

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