Institutional respite care allows an eligible Medicaid claimant admission to a certified nursing facility for periods covering up to a maximum of six weeks (42 days) in any calendar year. The cost of respite care in any given month, combined with all other waivered Medicaid Services provided in that month, cannot exceed the average statewide cost per resident, per month of ICF care. (These costs will be approved and monitored through the Division of Senior Services.)
A unit of care is defined as one 24-hour day of respite care to an individual.
NOTE: Medicaid (MA spend down/Non-spend down) claimants approved for institutional respite care will not:
- have to apply for vendor payments; or
- be subject to pre-admission screening.