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Providers urge frail‑elder waiver for assisted living and clarity on ALR classification to preserve affordable options
Summary
Assisted‑living operators told the Joint Committee on Aging and Independence that Massachusetts needs a MassHealth reimbursement pathway (frail‑elder waiver) for assisted living and statutory clarity that ALRs are regulated under chapter 19D, not treated like ordinary rental housing.
Representatives of assisted‑living providers, the Mass Assisted Living Association and several for‑profit and nonprofit operators told the committee that current Medicaid rules and reimbursement structures limit the Commonwealth’s ability to sustain and expand affordable assisted‑living options.
Witnesses described assisted living as a hybrid setting that provides 24‑hour on‑site care, nursing oversight and assistance with activities of daily living. They said existing programmatic subsidies and…
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