Medicaid and senior living: A troubled marriage

There was a time not long ago when senior living was essentially a 100% private-pay business. But it’s a rare state these days that does not let Medicaid help with the tab.

To be sure, welcoming Medicaid into the picture was a somewhat controversial move. On the plus side, Medicaid has provided millions of dollars that might not otherwise have been available. For quite a few struggling operators, such payments have spelled the difference between survival and creditor protection.

But the Medicaid-payment safety valve has some troubling strings attached. Among the most obvious is this: you want Medicaid dollars, you have to play by Medicaid’s rules.

– McKnight’s Senior Living

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