Room and board is paid for with either private funds or public funding through SSI. There are no data indicating what percentage of people in CBRFs are private pay and what percentage are SSI eligible. Wisconsin does not set room and board rates for Medicaid waiver clients in CBRFs because the waiver program is administered at the local level by the counties. Consequently, many people who are eligible for the waiver cannot afford to pay market rate room and board costs in CBRFs, or any other residential care setting. In some instances, a waiver client may be able to receive state COP funds to help them pay for room and board costs.
Some CBRFs will accept the SSI benefit as payment for room and board costs for people who are eligible for Medicaid through SSI eligibility or through the Medically Needy program.