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

12/01/2003

The state limits the amount that can be charged to ALE waiver clients for room and board to the amount of SSI, which is $552.00 plus the Optional State Supplementation of $78.40, which equals $630.40, minus a $54 personal needs allowance, which equals $576.40.17 The facility is legally required to accept the OSS rates for waiver clients. Any income over this amount is required cost sharing.

Family supplementation--capped at twice the amount of the SSI/OSS combined payment for room and board--is allowed. The state does not limit room and board charges for private pay residents.


17. The maximum OSS payment is $78.40 per month.

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