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


  • The services that are provided in assisted living facilities are defined in statute and regulations and include personal care, protective oversight, meals, and housekeeping.

  • The eligibility standard for adult care homes requires residents to need assistance with ADLs but not licensed nursing. Medication management is handled by medication technicians, or by RNs in facilities that have them on staff. The administrator must assure the provision of appropriate training for medication technicians.

  • Persons with nursing needs can choose to stay in an adult care home and receive nursing services through either Medicare or Medicaid Home Health. Persons with certain medical conditions can not be cared for. Private pay residents may pay for additional nursing care not covered by Medicare.

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