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Does Medicaid Pay for Assisted Living in Connecticut?

Updated September 3, 2026. Quick answer: yes, through Connecticut Home Care Program for Elders (CHCPE), funded by CMS 1915(c) waiver 0140.R08.00. Medicaid does not pay the facility’s room and board either way; only the care and service component.

What Connecticut covers

Waiver / state plan optionConnecticut Home Care Program for Elders (CHCPE), funded by CMS 1915(c) waiver 0140.R08.00
Covers an assisted living setting?Yes: “Provides adult day health, care management, homemaker, personal care assistant, respite, adult family living, assisted living, assistive technology, … to individuals ages 65 or older who meet a nursing facility level of care.”
Room and boardNever covered by Medicaid, in Connecticut or any state; see below.

The room-and-board split

Federal law is the floor every state builds on: “The Secretary may by waiver provide that a State plan approved under this subchapter may include as “medical assistance” under such plan payment for part or all of the cost of home or community-based services (other than room and board) approved by the Secretary” (42 U.S.C. §1396n(c)(1), Social Security Act §1915(c)). The words in parentheses do the work: whatever a state’s waiver pays for inside an assisted living community, it is not the rent, the meals, or the room itself. That portion stays the resident’s own to fund, out of income, savings, or a family contribution; the waiver only ever reaches the care and service layer on top of it. We did not find Connecticut’s own materials restating this point in the sources read this session; the federal rule above still governs.

The waitlist

Not published by the state in the materials reviewed this session.

What you get to keep: the personal needs allowance

$75.00 a month: “The amount of your gross income that is allowable for you to keep each month, and not counted towards your cost of care. This amount is established legislatively. The current amount, effective 7/1/2021, is $75.00. For the PCA waiver recipients, the amount is set at 200% of the Federal Poverty Level (FPL).” This is the amount of a waiver participant’s own income the state lets them keep for personal spending after the rest goes toward the cost of their care; it varies by state because each state sets its own figure inside the federal floor.

Paying for care is the harder half

What a waiver covers is only part of the problem, because room and board still has to come from somewhere, and an adviser can look at income, savings and the likely timeline together before a placement decision is made.

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What this doesn’t answer

No Connecticut DSS or regulatory source read this session states explicitly that Medicaid/CHCPE will not pay a facility’s room and board; only the federal floor is cited on this page. The regulation confirms a waiting-list mechanism exists but no current open/closed status or number-waiting figure was found (only 2007-2018 vintage reports were locatable). The $75 personal needs allowance is DSS’s general LTSS figure, effective 7/1/2021; whether CHCPE’s own assisted-living component uses this figure or a different one was not independently confirmed and is left as a named gap rather than assumed.

Sources

Read September 3, 2026.

Same question, other states: Missouri · Montana.

Related: what assisted living actually costs · assisted living vs. staying home vs. a CCRC · why home care has a waitlist and a nursing home doesn’t.

General information drawn from each state’s own Medicaid agency and federal statute, not legal, tax or financial advice. Medicaid is administered state by state; waiver names, coverage decisions, waitlists and allowance amounts change by state budget and legislative action. This page cannot see your own state’s current caseload. We are not a law firm, a benefits counselor, or a fiduciary, and this is not personalized advice. We sell nothing on this page and earn nothing from it.

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