The U.S. government provides health coverage to more than 4.6 million low-income seniors and 3.7 million seniors with disabilities through the Medicaid program. Medicaid can be used to pay for long-term nursing home care in all states. Many states also allow their residents to use Medicaid waivers to pay for assisted living or in-home care if the services can be obtained at a lower cost. Each state has individual rules, regulations and eligibility requirements.
Update: January 2018
STATE MEDICAID |
MEDICAID WAIVER |
| ALABAMA | State of Alabama Medicaid application and resources. |
| ALASKA | State of Alaska Medicaid assistance application and resources. Find more information at the Older Alaskans Program Medicaid Waiver. |
| ARIZONA | Find more information at the Arizona Long Term Care System (ALTCS). |
| ARKANSAS | Further options may be available through the Living Choices Assisted Living Waiver |
| CALIFORNIA | Further options may be available through the Assisted Living Waiver Program |
| COLORADO | Further options may be available through the Elderly, Blind and Disabled Waiver |
| CONNECTICUT | Further options may be available through the Home Care Program for the Elderly |
| DELAWARE | Further options may be available through the Amended Elderly and Disabled Waiver |
| DISTRICT OF COLUMBIA | Official DC Medicaid healthcare program site. |
| FLORIDA | Further options may be available through Florida’s Assisted Living for the Elderly Waiver |
| GEORGIA | Further options may be available through Georgia’s Community Care Services Program |
| HAWAII | Further options may be available through the QUEST Expanded Medicaid Waiver |
| IDAHO | Further options may be available through the HCBS Aged and Disabled Waiver |
| ILLINOIS | Further options may be available through the HCBS Waiver for Supportive Living Facilities. |
| INDIANA | Further options may be available through the Aged and Disabled Waiver |
| IOWA | Further options may be available through the HCBS Elderly Waiver |
| KANSAS | Further options may be available through the HCBS/ FE Waiver |
| KENTUCKY | Official Kentucky Department for Medicaid Services site. |
| LOUISIANA | Official Louisiana Medicaid Agency site. |
| MAINE | Further options may be available through the Older Adults and Adults with Disabilities Waiver |
| MARYLAND | Further options may be available through the Official Maryland Health site. |
| MASSACHUSETTS | Further options may be available through MassHealth’s Personal Care Attendant Program |
| MICHIGAN | Further options may be available through the Choice Waiver Program |
| MINNESOTA | Further options may be available through the Elderly Waiver |
| MISSISSIPPI | Further options may be available through the Official Mississippi Medicaid website |
| MISSOURI | Further options may be available through the Aged and Disabled Waiver |
| MONTANA | Further options may be available through Montana’s Home and Community Based Services Medicaid Waiver |
| NEBRASKA | Further options may be available through the Aged and Disabled Medicaid Waiver |
| NEVADA | Official Nevada Medicaid Agency site. |
| NEW HAMPSHIRE | Further options may be available through the Official New Hampshire Medicaid website |
| NEW JERSEY | Further options may be available through the Official New Jersey Medicaid webiste |
| NEW MEXICO | Official New Mexico Medical Assistance Division site. |
| NEW YORK | Further options may be available through the Consumer-Directed Personal Assistance Program |
| NORTH CAROLINA | Further options may be available through the CAP/ DA Medicaid Waiver |
| NORTH DAKOTA | Official North Dakota Medicaid Agency site. |
| OHIO | Further options may be available through the Official Ohio Medicaid website |
| OKLAHOMA | Further options may be available through the ADvantage Program Waiver |
| OREGON | Further options may be available through the Aged and Physically Disabled Waiver |
| PENNSYLVANIA | Official Pennsylvania Health Care / Medical Assistance site. |
| RHODE ISLAND | Official Rhode Island Department of Human Services site. |
| SOUTH CAROLINA | Official South Carolina Medicaid Agency site. |
| SOUTH DAKOTA | Further options may be available through the Official South Dakota Medicaid Agency site |
| TENNESSEE | Further options may be available through the Tennessee Medicaid Waiver |
| TEXAS | Further options may be available through the Community Based Alternatives Waiver |
| UTAH | Further options may be available through the Utah Medicaid Agency site |
| VERMONT | Further options may be available through the Choices for Care Medicaid Waiver |
| VIRGINIA | Further options may be available through the Alzheimer’s Assisted Living (AAL) Waiver |
| WASHINGTON | Further options may be available through the Medicaid Apple Health Program |
| WEST VIRGINIA | Official West Virginia Medicaid Agency site. |
| WISCONSIN | Further options may be available through the COP-W Medicaid Waiver |
| WYOMING | Further options may be available through the Assisted Living Facility Waiver |