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Assisted Living facilities are adult apartment buildings or communities that provide a secure environment for seniors who are generally self-directing. These communities usually offer restaurant-style dining, housekeeping, laundry, and other services, and are sometimes associated with a “graduated care” facility that provides a range of housing options from independent living to skilled nursing care.

Traditionally, most Assisted Living facilities have been private pay only. However, that is changing somewhat as the population ages, and more and more facilities are offering at least some Medicaid rooms or apartments. This type of Medicaid still falls under the “Community Medicaid” umbrella.

While many seniors are moving into Assisted Living while they are still independent, some may need help with the “Activities of Daily Living (ADL’s).” ADLs include dressing, bathing, eating, toileting, and “transferring,” which means moving from one place to another such as from your bed to a chair.

If you do need assistance with ADLs, you are usually permitted to receive it in an Assisted Living facility. Even if you live in a facility that does not accept Medicaid to pay for living expenses, if you are eligible for Medicaid Home Care, you can usually receive home health services in the facility that are paid for by Medicaid.

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