Does Medicaid pay for assisted living?

We often hear the questions, “Does Medicaid pay for assisted living? ”

A licensed ALP facility is the only assisted living housing option that is currently covered by Medicaid.

For qualified individuals, Medicaid will pay for the assisted living or medical portion of the cost of a facility. The amount Medicaid will pay is based on a daily rate which is determined by the Patient Review Instrument (PRI) score of the qualifying individual. The PRI is an evaluation prepared by an RN certified by NY State that determines the level of assisted living care an individual requires. Click here for payment options.