Does Connecticut Medicaid cover memory care?

It can cover memory care within a Medicaid-certified skilled nursing facility once a resident qualifies medically and financially. Standalone assisted living memory care is generally not covered for room and board.

What's the difference between Medicaid-certified and private-pay memory care?

Medicaid-certified facilities have beds approved to bill Medicaid for qualifying residents, usually within a skilled nursing setting. Private-pay communities require the family or resident to cover the full cost out of pocket or through long-term care insurance.

How do I apply for Medicaid to cover memory care?

It typically starts with a financial and medical eligibility application through the state, often with help from the facility's admissions or social work staff who handle these applications regularly.

Can someone start on private pay and switch to Medicaid later?

Yes, this is a common path. Many residents pay privately until their assets are spent down to the eligibility threshold, at which point the facility can transition billing to Medicaid if it holds certified beds.

Finding memory care that accepts Medicaid in Greater New Haven

Cost is often the first question families ask, and for many, the real question underneath it is whether Medicaid will help pay for memory care. The answer depends heavily on the type of setting.

Skilled nursing facilities with memory care units are generally the setting where Medicaid coverage applies once a resident meets both the medical level-of-care requirement and financial eligibility.
Standalone assisted living memory care in Connecticut is typically private pay, since room and board in assisted living settings usually falls outside standard Medicaid coverage, though some state waiver programs can help offset certain services.
Spend-down and eligibility can take time to work through, and many families start a placement as private pay while a Medicaid application is processed.

Because rules and bed availability for Medicaid-certified rooms change, it's worth confirming directly with a facility's admissions office whether they currently accept new Medicaid residents and how many Medicaid-certified beds they have.

What it costs

Medicaid-certified nursing facilities bill Medicaid once a resident is financially and medically eligible, which can follow a period of private pay or spend-down of assets. Standalone assisted living memory care communities are largely private pay in this area. Actual eligibility and coverage depend on individual income, assets, and the specific facility's certification, so this is worth confirming with a caseworker or the facility directly rather than assuming a flat rate.

Top 3 by our score

Ranked from our published scoring of public Google reviews for skilled nursing with memory care.

1. Rivermere Senior Living of Orange
4.9★ · 58 reviews

85
2. Evergreen Woods
4.8★ · 210 reviews

91
3. Carriage Green at Milford
4.6★ · 64 reviews

82

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FAQ

Does Connecticut Medicaid cover memory care?: It can cover memory care within a Medicaid-certified skilled nursing facility once a resident qualifies medically and financially. Standalone assisted living memory care is generally not covered for room and board.
What's the difference between Medicaid-certified and private-pay memory care?: Medicaid-certified facilities have beds approved to bill Medicaid for qualifying residents, usually within a skilled nursing setting. Private-pay communities require the family or resident to cover the full cost out of pocket or through long-term care insurance.
How do I apply for Medicaid to cover memory care?: It typically starts with a financial and medical eligibility application through the state, often with help from the facility's admissions or social work staff who handle these applications regularly.
Can someone start on private pay and switch to Medicaid later?: Yes, this is a common path. Many residents pay privately until their assets are spent down to the eligibility threshold, at which point the facility can transition billing to Medicaid if it holds certified beds.

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