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Private Pay vs Medicaid Adult Family Home
Private-pay vs Medicaid Adult Family Homes: different admission paths, rates, and paperwork. Compare costs with calculators — not an eligibility decision.
Private pay vs Medicaid Adult Family Home is a payer and contract question. The building can look the same; the invoice and admission rules may not.
Private pay
You receive a written monthly rate (sometimes with care-level add-ons). Estimate with the AFH care cost calculator and compare other settings in the assisted living cost calculator. Guide: how much an Adult Family Home costs.
Medicaid
Eligibility, CARE assessment, and a contracted home are all required for Medicaid care payments. Start with Does Medicaid pay for Adult Family Homes?, COPES, and published rates in the Medicaid rate calculator. Room-and-board may still apply.
How to search
Use the directory Medicaid filter as a starting list, then call. Tags can lag. Related: Adult Family Homes that accept Medicaid and how to pay for long-term care.
Not an eligibility or admission decision.
Frequently asked questions
What is a private-pay Adult Family Home?
A home that bills the resident or family a private monthly rate without a Medicaid care payment for that stay.
What is a Medicaid Adult Family Home?
A home with a public Medicaid-related contract that may bill Medicaid for eligible, assessed residents. Admission is still the home’s decision.
Can a home take both?
Some homes take a mix. Always ask about current openings and payer mix.