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


  • RCFs offer room and board with 24-hour supervision, assistance with physical care needs, medication monitoring, planned activities, and often transportation services. If clients in RCFs need delegated nursing services, then the facility must have an R.N. consultant. Oregon's contract nurses are paid by the state to provide consultation services in RCFs.

  • Class I RCFs provide ADL assistance only and cannot serve anyone who is non-ambulatory, is medically unstable, who requires feeding or is totally dependent in any ADL.

  • Class II RCFs offer a full range of services without any restriction on acuity levels.

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