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


  • The state limits the amount that providers can charge Medicaid eligible residents for room and board to $449.70. This amount is equal to the combined SSI/SSP payment of $553.70 minus $104 for a personal needs allowance.22

  • Those who qualify for SSI are automatically eligible for Medicaid. The state supplement is provided to every SSI recipient in specified living arrangements, including their own homes, in-home, adult foster homes, residential care facilities, assisted living facilities and nursing homes.23 Persons living in institutions such as a state hospital are not covered.

  1. The state's SSI supplement is $1.70 per month, the minimum amount required by federal law as state maintenance of effort when the SSI program was first enacted in the early 1970's.

  2. Federal SSI limitations apply except that the transfer of a home may render a person ineligible for a state supplement for up to 30 months, based on the amount of uncompensated value.

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