Many families are surprised to learn that Medicaid coverage for assisted living is different from nursing home coverage.

While Medicaid commonly covers nursing home care, assisted living coverage may depend on specific programs.

Home and Community-Based Services

Pennsylvania offers several Medicaid waiver programs designed to help individuals receive care in community settings rather than institutions.

These programs may help cover services such as:

• Personal care assistance
• Help with daily living activities
• Limited home support services

However, Medicaid may not cover room and board in some assisted living settings.

Eligibility Requirements

Applicants must meet financial and medical eligibility requirements similar to other Medicaid programs.

Because waiver programs often have enrollment limits, early planning can be helpful.