What Is an Assisted Living Waiver?

Author: Andrea Miller

Reviewed By: Kristi Bickmann

An assisted living waiver is a Medicaid program that helps support the cost of assisted living for people who need help with daily activities. It’s also called a home or community-based care waiver. State Medicaid pays part of the cost of this type of assisted living facility, but not every state has a waiver program. 

Who can benefit from an assisted living waiver?

You can benefit from an assisted living waiver if you want to receive the help you need in a homelike setting with community amenities and events. Explore whether your state has a Medicaid assisted living waiver if you want to live independently but need help with tasks such as managing your medications, preparing meals or getting dressed. 

Who qualifies for an assisted living waiver?

Each state’s program has its own rules to qualify for an assisted living waiver. In general, you must show financial need and have difficulty performing activities of daily living. You might need an assessment from a state-approved health care provider to determine what level of care you need. Some states have a waiting list for Medicaid waivers, so try to apply as soon as you or a loved one requires assisted living care.

What does an assisted living waiver cover?

State assisted living waivers typically cover personal care services provided by trained staff at an assisted living community. The services offered must help you maintain independence and promote well-being. Most assisted living facilities include help getting around, housekeeping, transportation and social activities. Check with your state Medicaid program to find out exactly what a waiver may cover.