How Much Does Medicaid Pay for Memory Care?

The amount Medicaid pays for memory care varies by state, and while it does cover some of the costs, additional supplemental income is often necessary to cover the full expenses. The exact coverage amount depends on the state regulations where you reside. Additionally, not all memory care communities accept Medicaid payments, so this should be a consideration when selecting facilities for yourself or your loved one.

These programs often have long waiting lists, and your loved one will have to wait for a spot to open up on the list. This may not be ideal in every situation, but it’s often the best option for those who are unable to afford the costs of memory care on their own.

The exact amount that Medicaid will pay towards memory care services depends on the state you live in and the level of care your loved one requires. Medicaid waiver programs and Medicaid don’t cover the costs of room and board in a long-term care facility. The programs cover the costs of assistance with the tasks of daily living, medication management, specialized care, transportation and therapies. You or your loved one will need to use personal funds or apply to additional government programs to cover the costs of housing and food.

If your loved one’s dementia has progressed to the point that they require full-time care in a nursing home, it may be covered by Medicaid. Institutional or skilled nursing care is an entitlement in all 50 states. However, your loved one must meet certain criteria to qualify for skilled nursing care. Each state has different criteria to determine the level at which 24-hour medical care and supervision is required. It’s also worth noting that not all skilled nursing facilities offer memory care, and this may not be the best option for your loved one’s well-being.