Medicaid Assistance
 In many states, Medicaid programs cover the cost of daily personal care services at Assisted Living comunities for low-income persons who meet program eligibility requirements. Most often, in order to qualify residents must require assistance with one or more Activities of Daily Living (ADLs), e.g., bathing, dressing, grooming, eating and/or ambulating. In addition, residents must meet income and financial asset thresholds.
Some, not all, Assisted Living communities participate in Medicaid programs.
Often an Assisted Living community will submit the appropriate documentation to Medicaid and get reimbursed directly from Medicaid for personal care services rendered. In many cases, the resident, and his or her family, are responsible for paying the monthly rental fee covering accommodations, meals and other included benefits of residency in assisted living, such as the activities and wellness programs.
New England Medicaid Programs:
Connecticut The Connecticut Medicaid program is run through the Department of Social Services (DSS) Aging Services Division and covers eligible seniors living in Assisted Living communities. To apply for Medicaid, Connecticut residents may call or visit their regional DSS office. More information on the Connecticut program is available by calling 1-800-842-1508. Maine The MaineCare medical relief program provides assistance to many seniors living in Assisted Living communities. Residents may apply for MaineCare by downloading an application and mailing it to any Department of Health and Human Services (DHHS) office (find the DHHS office nearest you). For more information on MaineCare services for the elderly, you may contact a Maine Area Agency on Aging or call the Elders 1 hotline at 1-877-353-3771.
Massachusetts
The Massachusetts Division of Medical Assistance helps to subsidize assisted living personal care services for low-income seniors who meet the Group Adult Foster Care Program clinical and financial requirements. For more information and to apply for assistance, call 1-800-841-2900. New Hampshire The New Hampshire Choices for Independence program is administered in association with New Hampshire Medicaid to provide assistance to senior citizens. For more information and to apply for assistance, call the NH ServiceLink at 1-866-634-9412 or visit the Medicaid Long-Term Care website. Rhode Island Rhode Island’s program is administered by the Department of Elderly Affairs and the Rhode Island Department of Human Services (DHS). The purpose of the program is to provide housing and personal care assistance in a residential Assisted Living setting to individuals who require personal care assistance and may be at risk for nursing home placement. For more information contact the DHS office nearest you by using the local office directory. Vermont The Medicaid program in Vermont covers the cost of most medical services, including long-term care in an Assisted Living setting. Residents may apply for Medicaid assistance by calling the Vermont Senior HelpLine at 1-800-642-5119. You may also visit the Area Agency on Aging nearest you for more information or to apply in person (click here find a local Agency on Aging).
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