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Does Medicaid pay for the full cost of assisted living in Minnesota?

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, neve

Quick answer

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, never the room-and-board charge. Minnesota does not have a broad state subsidy that covers private-pay room and board, though very-low-income residents in certain licensed settings may qualify for a separate, narrower Housing Support benefit to help offset it.

HomeQuestionsDoes Medicaid pay for the full cost of assisted livi
Answer

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, never the room-and-board charge. Minnesota does not have a broad state subsidy that covers private-pay room and board, though very-low-income residents in certain licensed settings may qualify for a separate, narrower Housing Support benefit to help offset it.

The detail behind the program

This is one of the most consequential facts a Twin Cities family can misunderstand when planning finances, because it means Medicaid approval doesn't make an assisted living apartment 'free' the way it can effectively make a nursing home stay affordable. A resident approved for the Elderly Waiver in a Brooklyn Park or Richfield community would still need to pay the facility's room-and-board rate from Social Security, a pension, savings, or the narrower Housing Support benefit if they qualify. Families budgeting for assisted living should ask a facility to break out its 'service fee' from its 'room and board' fee specifically, since only the former is what Medicaid waiver dollars can ever reach.

Related questions

Questions families ask

Does Medicaid pay for the full cost of assisted living in Minnesota?

No. Medical Assistance, through the Elderly Waiver, pays only for the care-services portion delivered inside a licensed assisted living facility, never the room-and-board charge. Minnesota does not have a broad state subsidy that covers private-pay room and board, though very-low-income residents in certain licensed settings may qualify for a separate, narrower Housing Support benefit to help offset it.

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