Medicaid will cover custodial care costs as long as care is provided in a specific setting approved by Medicaid. provided in approved care facilities, such as a nursing home setting or other settings (see below). Medicare does not provide for long-term custodial care.
The three principal settings in which individuals receive custodial care are: in home, in assisted living facilities, and in a nursing home/long-term care setting. Medicaid services have a Medicaid program for each of these levels of care The level of assistance does vary category to category, and may or may not be a difference maker financially for a person in need.
For those needing custodial care and desiring to remain in the home, community based services or hcbs services are available for home health care needs.