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According to the Genworth 2021 Cost of Care Survey, assisted living in the United States costs an average of $4,500 a month, which is a lot for many seniors trying to get by on a fixed income.
More than 800,000 adults in the U.S. reside in an assisted living facility, according to the American Health Care Association, but the number of facilities and average costs vary widely from state ...
Medicaid does not directly pay for lodging and nonmedical caregiver support at assisted living facilities. Because the program is fundamentally a health insurance plan, it can only pay for ...
[11] However, Medicaid generally does not cover long-term care provided in a home setting unless there is a state specific waiver program. In most states Medicaid does not pay for Assisted Living. People who need long-term care often prefer to age in place in their own home or in a private room in an assisted living facility if medically necessary.
The primary problem with these facilities today are their exorbitant cost (reported as average of $123,053 per person, likely institutions)compared to home and community-based Medicaid waiver services ($42,896 per person) which also far exceed the cost of nursing facilities (American Association of Retired Persons, 2012, p. 14).
If the facility is licensed as assisted living, Medicaid reimbursement depends on the state’s assisted living provisions. For Medicaid, the costs are equivalent to the traditional Medicaid costs for nursing homes. If the income level is above the Medicaid minimum, there may be a co-pay for residents. For private pay, each facility determines ...
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