TABLE 1. State Residential Care Setting Licensure Terms and Medicaid Service Terms

State	Residential care setting licensure terms	Medicaid service terms
Alabama	Assisted living facilities, specialty care assisted living facilities, adult foster homes	N/A
Alaska	Adult foster care homes, assisted living homes, assisted living centers	Residential supported living in adult foster care homes, assisted living homes, and assisted living centers
Arizona	Assisted living facilities, adult foster care	Alternative residential settings that include assisted living homes, assisted living centers, adult foster care
Arkansas	Assisted living facilities ( level I and II), residential care long-term care facilities, adult family homes	Living Choices waiver program covers assisted living services only in level II assisted living facilities, personal care services in residential care facilities or level II assisted living facilities
California	Adult residential care facilities, residential care facilities for the elderly	Assisted living services in residential care facilities for the elderly
Colorado	Assisted living residences, certified as alternative care facilities	Alternative care facility services
Connecticut	Assisted living service agencies, residential care homes, adult family living	Adult family living/foster care and assisted living services in residential care homes
Delaware	Assisted living facilities, family care homes, residential care homes	Community-based residential services or assisted living services in assisted living facilities
District of Columbia	Assisted living residences, community residential facilities	Assisted living services in assisted living residences
Florida	Assisted living facilities, adult family care homes	Assistive care services (personal care state plan option), assisted living services (§ 1915(b)/(c) HCBS waiver)
Georgia	Personal care homes, assisted living communities	Alternative living services in personal care homes, which includes family model group homes (2–6 beds) and group model homes (7–24 beds)
Hawaii	Assisted living facilities, adult residential care homes, community care foster family homes	Assisted living services in assisted living facilities, community care foster family home services in community care foster family homes, and residential care services in expanded adult residential care homes
Idaho	Residential care/assisted living facilities, certified family homes	Adult residential care services in certified family homes and residential assisted living facilities
Illinois	Assisted living establishments, shared housing establishments, sheltered care facilities, and supportive living facilities	Assisted living services in supportive living facilities
Indiana	Residential care facilities, adult family care homes	Assisted living services in adult family care homes and residential care facilities
Iowa	Residential care facilities, elder group homes	Assisted living services in assisted living programs and residential care facilities
Kansas	Assisted living facilities, residential health care facilities, Home plus facilities	Personal care services in assisted living facilities, residential health care facilities
Kentucky	Assisted living communities, personal care homes	N/A
Louisiana	Adult residential care providers	N/A
Maine	Assisted housing program, which includes the following types: assisted living programs; residential care facilities levels I, II, III, and IV; and private non-medical institutions levels I, II, III, and IV	Private non-medical institution services
Maryland	Assisted living programs, adult foster care	Assisted living programs
Massachusetts	Assisted living residences, adult family/foster care, rest homes	Assisted living services and personal care attendant services in assisted living residences and adult foster care services in adult foster care
Michigan	Homes for the aged, adult foster care	Personal care services in homes for the aged
Minnesota	Housing with services establishments (assisted living), adult foster care	Adult foster care, customized living services, residential care services
Mississippi	Personal care home-assisted living, personal care home-residential living, adult foster care	Assisted living services in personal care home-assisted living facilities
Missouri	Assisted living facilities, residential care facilities	Personal care and advanced personal care services in assisted living and residential care facilities
Montana	Assisted living facilities, adult foster homes	Adult residential living/residential habilitation services in assisted living facilities, adult foster home, group home
Nebraska	Assisted living facilities, adult family homes	Assisted living services in assisted living facilities
Nevada	Residential care facilities for groups, homes for individual residential care	Assisted living services and augmented personal care services in residential care facilities for groups
New Hampshire	Assisted living residence-supported residential health care, assisted living residence-residential care facilities, adult family care residences	Residential care facility services in residential care facilities and adult family care services in adult family care residences
New Jersey	Assisted living residences, comprehensive personal care homes, assisted living programs, adult family care	Assisted living services in comprehensive personal care homes and assisted living residences, assisted living programs
New Mexico	Assisted living facilities for adults	Assisted living services in assisted living facilities
New York	Adult care facilities, including adult homes, enriched housing programs, and assisted living residences	Assisted living program in adult homes or enriched housing programs
North Carolina	Assisted living residences, adult care homes	Personal care services in adult care homes
North Dakota	Assisted living facilities, basic care facilities, family foster homes	Residential care services, personal care services in basic care facilities
Ohio	Residential care facilities, adult foster homes	Assisted living services in residential care facilities
Oklahoma	Assisted living centers, residential care homes	Assisted living services in assisted living centers
Oregon	Assisted living facilities, residential care facilities, adult foster care, Memory care communities	Personal care services in assisted living facilities, residential care facilities, and adult foster homes
Pennsylvania	Assisted living residences, personal care homes, domiciliary care homes	N/A
Rhode Island	Assisted living residences	Assisted living services in assisted living residences
South Carolina	Community residential care facilities	Personal care services, residential personal care II in community residential care facilities
South Dakota	Assisted living centers, adult foster care	Assisted living services in assisted living facilities
Tennessee	Assisted care living facilities, residential homes for the aged, family homes for adults	Community-based residential alternative services in assisted care living facilities or adult care homes
Texas	Assisted living facilities, adult foster homes	Assisted living services in assisted living facilities and adult foster homes
Utah	Assisted living facilities, adult foster care	Adult residential care services in assisted living facilities and community residential care facilities
Vermont	Assisted living residences, adult family care homes	Assistive care services, enhanced residential care home services in assisted living residences and residential care homes, adult family care in adult family care homes,
Virginia	Assisted living facilities, adult foster care	Assisted living services (only for individuals with a diagnosis of Alzheimer’s disease or related dementia) in assisted living facilities
Washington	Assisted living facilities, adult family care	Personal care services in assisted living facilities, adult residential care facilities, enhanced adult residential care facilities, enhanced adult residential care-specialized dementia care, and adult family care
West Virginia	Assisted living residences, residential care communities, health care homes	N/A
Wisconsin	Assisted living facilities	Personal care services and community-based residential facility services, residential care apartment complex services, and adult family home services
Wyoming	Assisted living facilities, adult foster care homes	Assisted living services in assisted living facilities

Note: N/A is not applicable, as the state does not provide Medicaid coverage for services delivered in residential care settings.

Sources: Carder, P., J. O’Keeffe, and C. O’Keeffe, 2015, Compendium of residential care and assisted living regulations and policy: 2015 edition, Washington, DC: ASPE, https://aspe.hhs.gov/basic-report/compendium-residential-care-and-assisted-living-regulations-and-policy-2015-edition. Research Triangle Institute (RTI) analysis, 2016, Centers for Medicare & Medicaid Services (CMS), 2016, approved demonstration and waiver applications, https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/waivers_faceted.html. RTI, 2016, analysis of CMS, Medicaid state plan amendments, https://www.medicaid.gov/state-resource-center/medicaid-state-plan-amendments/medicaid-state-plan-amendments.html.