Provision of long-term care (LTC) services to older adults in group settings that are less institutional than nursing homes may be more economical than providing services in individual homes. This brief addresses a number of questions about how states can provide access to residential care through Medicaid.

Public funding for long-term care services for older people in residential care settings.

Living arrangements of people with Alzheimer’s disease and related dementias: Implications for services and supports

Purpose This policy study analyzed states' residential care and assisted living (RC/AL) regulations for dementia care requirements. Estimates suggest that at least half of RC/AL residents have dementia, and 22% of settings provide or specialize in dementia care. Residents with dementia might benefit from regulations that account for specific behaviors and needs associated with dementia, making states' RC/AL regulations address dementia care an important policy topic. Design and methods This study examined RC/AL regulations in all 50 states and the District of Columbia for regulatory requirements on five topics important to the quality of life of RC/AL residents with dementia: pre-admission assessment, consumer disclosure, staffing types and levels, administrator training, and physical environment. Results Sixteen states license or certify dementia care units within RC/AL settings. All states had at least one dementia care requirement, though only four states had requirements for all five of the topics reviewed. Most states addressed administrator training, consumer disclosure, and physical environment, 17 addressed staffing types and levels, and 14 addressed pre-admission assessment for dementia. Thus, most states rely on general RC/AL regulations to cover dementia care policies and practices. Implications This policy study provides a resource for researchers who do cross-state studies of dementia care in RC/AL settings and state policymakers who are updating RC/AL regulations, including those responding to a 2014 Centers for Medicare and Medicaid Services rule change.

/pdf/state-regulatory-approaches-for-dementia-care-in-residential-1xvekz68vl.pdf

State Regulatory Approaches for Dementia Care in Residential Care and Assisted Living.

Residential care facilities, known by a variety of names such as assisted living or group homes, offer assistance to people who find it difficult to live alone but who do not need or wish to enter a nursing home. There is substantial variation in the amount that residents are charged each month. Data from the 2010 National Survey of Residential Care Facilities were used to identify factors that affect the total monthly charges to residents. These findings can inform an individual's search for an appropriate, affordable option.

Factors Affecting Residential Care Facility Charges

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Factors Affecting Residential Care Facility Charges