cost of assisted living in 30+ states, as well as the District of Columbia. States are increasing the level of assistance they offer to persons in assisted living because this living environment is less expensive than skilled nursing homes, and therefore, less costly to the state. Having said that, Medicaid’s assisted living benefits are very inconsistent. For example, in some states, Medicaid pays for only personal care services in assisted living. In other states, the size of the community is regulated. Some states limit size to small, adult foster care-type homes, while other states limit assisted living to larger residences serving twelve or more persons. Still, other states have no regulations at all related to the number of residents. Another variation in policy relates to room and board. While Medicaid does not pay for room and board, states have found ways to assist. For instance, some states limit the maximum amount that can be charged or provide non- Medicaid assistance to Medicaid-eligible persons (Assisted Living, n.d.).
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