What is it called?

• Assisted Living Residence
• An “Alternative Care Facility” is an Assisted Living Residence that can accept Medicaid reimbursement.

What services are provided?

• All Assisted Living Residences are required to provide:

• Room and Board
• Personal Services, which include a safe environment, supervision, assistance with daily activities, recreational activities, and arrangement of transportation
• Protective Oversight, which is the monitoring of the changing needs of residents in order to ensure that they receive the necessary services
• Social Care

Who can be admitted?

• Adults needing assistance with daily activities and other intermittent nursing needs
• Residents requiring the administration of oxygen

Who is inappropriate?

• Private Pay Assisted Living Residences:
• Adults who need a level of care or service they facility does not and cannot provide
• Adults with uncontrollable incontinence, unless this incontinence can be kept from being a health hazard
• Bedridden Adults
• Adults who need 24 hour nursing services
• Adults who must be restrained
• Adults with communicable diseases or infections
• Adults with substance abuse problems

• Alternative Care Facilities:
• Adults needing more than intermittent skilled services
• Adults with acute, untreatable illnesses
• Adults who cannot or will not meet own hygiene needs
• Adults with ambulatory limitations (unless they can be assisted)
• Adults consistently unwilling to take medication

What training is required for direct care staff?

• Initial Training:
• Needs of the population and resident’s rights,
• General First Aid
• Medication administration.
• After one month:
• Emergency and fire procedures
• Assessment skills         
• Infection control
• Dealing with difficult situations and behaviors

Is nurse staffing required?

• Not specified

Is there any public payment available?

• Yes.  The Medicaid program may pay for assisted living services in Alternative Care Facilities through a Home and Community Based Services Waiver
• A Medicaid Home and Community Based Services Waiver covers services in alternative care facilities. Facilities are reimbursed on a flat rate.

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