It is time to Advocate for Assisted Living to Stay Regulated at the State Level!
A bipartisan group of four U.S. Senators earlier this month sent a joint letter to the U.S. Government Accountability Office (GAO) requesting that GAO undertake a review of Medicaid spending and federal and state oversight of care provided to Medicaid enrollees in assisted living facilities.”Given the growth in federal Medicaid spending for long-term care services and expected program growth caused by the aging and expansion of the population and program, information to understand federal and state spending and oversight of care provided in these settings is needed,” read the letter to GAO from U.S. Senators Elizabeth Warren, Susan Collins, Claire McCaskill and Orrin Hatch.
Among the questions they are seeking answers to:
- What is known about the number of Medicaid enrollees in assisted living facilities and the amount of Medicaid spending for related care?
- What is known about state Medicaid coverage for assisted living, payment levels, and eligibility requirements?
- How do the federal government and states, particularly state Medicaid programs, oversee the care provided to individuals in assisted living facilities, and how, if at all, does this differ from oversight of care provided to Medicaid-covered individuals in nursing facilities?
ALFA (Assisted Living Federation of America), WALA’s National Partner, conducted a conference call last week to discuss this letter from the Senators. They are sharing some background information with Senators and their staff and have set an action plan in place for this inquiry. As you may know, ALFA and WALA are strong advocates for the regulation of Assisted Living communities to remain at the state level.