In my state medicaid covers the medical related expenses of assisted living, but not all of room and board. Instead what they do is calculate a monthly liability that the recipient must pay the facility based on their income.
There are programs for Medicaid/medical the waiting list is insane. the waiver program here in calif usually available if a person has been in a skilled nursing facility. again the waiting list is insane. most assisted living charge between 3500 up to 11,000 per month private pay based on the persons needs. Medicare does not pay as assisted livings are considered custodial care as they are all non medical out of home care. you may want to consider in home support services. contact your Medicaid office for more information.
This is because California generally does not pay for anything less than snf. The pilot program you speak of is generally for those who were in snf and observed to not be in need of skilled nursing.
Not all assisted living facilities accept Medicaid, even if Medicaid in that state covers assisted living. It’s important to check with specific facilities to see if they participate in Medicaid and whether they are part of any waiver programs.
If a person is in a state where Medicaid pays for assisted living, they pay their monthly income to the NH (e.g., social security, pension), less the allowed "personal needs allowance" they get to keep (which is in the $40-80 range). This is their "share of cost." The state Medicaid program sets the monthly rate it pays for various levels of residential cares; Medicaid would pay the balance of the monthly cost the person cannot pay from their income. So you can see that the exact Medicaid amount would vary, depending on how much income the person has to pay themselves. This would be true for nursing homes (LTC) as well.
Assisted Living, as this forum defines it, isca private paid facility that may not allow Medicaid. In my State, you havevto at least pay privately forvtwo years to apply for Medicaid. Even then the AL has to allow Medicaid and have not reached their % of Medicaid recipients they allow.
It really doesn't matter what Medicaid pays. Lets say a NH charges 10k a month with private pay. Medicaid has an arrangement they only pay a set amount. The recipient hands over their Social Security and any pension they receive. Thats all the NH receives. Family is not responsible for the rest.
There are a number of factors when it comes to being excepted by Medicaid. Assets can only be a certain amount and same with monthly income amount. If there is a spouse, then assets need to be split.
Many ALF, as private for profit models owned often by corporations, do not accept Medicaid. Some do. It would be up to you to explore which in your area do so. Good luck.
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It really doesn't matter what Medicaid pays. Lets say a NH charges 10k a month with private pay. Medicaid has an arrangement they only pay a set amount. The recipient hands over their Social Security and any pension they receive. Thats all the NH receives. Family is not responsible for the rest.
There are a number of factors when it comes to being excepted by Medicaid. Assets can only be a certain amount and same with monthly income amount. If there is a spouse, then assets need to be split.