State Medicaid programs can cover home and community-based services (HCBS) such as personal care and supportive services provided in assisted living communities. Medicaid does not pay for room and board costs.
States can use several different Medicaid authorities to cover such services in assisted living:
Medicaid state plan authorities,
§ 1915(c) HCBS waiver,
concurrent § 1915(b) managed care waiver, or
§1115 research or demonstration programs.
Note, a small minority of state Medicaid programs do not cover services in assisted living.