Does Medicaid Cover Memory Care in North Carolina?
Medicaid in North Carolina does pay for some of the costs of memory care through the state’s Personal Care Services program. Available to seniors living in adult care homes that are state-licensed, this program provides assistance to Medicaid recipients who are elderly, disabled, or have a cognitive impairment. An independent assessment and financial eligibility for Medicaid coverage are required.
- What Memory Care Services Are Covered by Medicaid in North Carolina?
Seniors who qualify for the Personal Care Services program might get up to 130 hours per month of help with basic care. These services are available to people who either reside in:
- Private home
- State-licensed residential care home
- Combination home
- Group home that is a supervised living facility
Qualifying tasks can include dressing, toileting, bathing, and other activities of daily living.
- Does Medicare cover assisted living in North Carolina?
The short answer is that no, Medicare does not cover the cost of assisted living in North Carolina. Assisted living facilities are considered a “residential setting” and not a “clinical setting,” (think nursing homes). While Medicare doesn’t cover the cost of care received in an assisted living community, it does still cover things like approved medications, doctor visits, medical equipment, etc., just like it would if you lived at home.
- Free and low-cost resources for seniors in North Carolina
Some free and low-cost resources are available to North Carolina seniors needing memory care services. The support services below can help with finding memory care or other necessary services.
The Alzheimer’s Association– North Carolina is linked to two Alzheimer’s Association chapters. These comprise the Western Chapter, which has offices in Charlotte and Greensboro, and the Eastern North Carolina Chapter, which has its headquarters in Raleigh. Both offer assistance to seniors and their families affected by this disease through advocacy, gatherings, education, and support. Contact: (800) 272-3900
North Carolina Division of Aging and Adult Services Transportation – Local services are available, such as transportation to senior centers, pharmacies, retail malls, and recreation areas. Seniors can use medical transportation to travel to hospitals, clinics, and doctor’s offices. There are transit services and phone numbers specific to each county.
North Carolina Ombudsman – Seniors can turn to the ombudsman for assistance with a range of long-term care-related problems. Notably, ombudsmen help senior citizens and their families resolve disputes with the long-term care facility. They ensure that residents are aware of their rights and the obligations of the facility.
Area Agency on Aging– The Area Agency on Aging in North Carolina is committed to addressing the needs of senior citizens at a local level. It offers resources and services that let senior citizens select the ideal living