Assisted living is a broad term used to describe community living with supportive services. Services in
assisted living facilities can vary greatly making It hard to compare one facility with another. Know want
is expected in terms of cost. If an individual is using resources to supplement their income to pay for
care, ask what happened with resources are exhausted? Some assisted livings expect residents to
privately pay the entire time they are residents. Other facilities look for a period of private pay before
accepting a negotiated rate or Supplemental Security Income (SSI) from the Social Security
Administration (SSA) as payment in full for room & board.
New York State licenses and regulates all Adult Care Facilities (ACF). In this category are adult homes,
enriched housing programs and residences for adults. Typically, these facilities provide rooms or
apartments, meals, housekeeping, laundry, supervision, some assistance with personal care and
medication management. Some provide transportation to medical appointments and scheduled
shopping in the community. The cost of Assisted living is not covered by Medicare and only an
Assisted Living Program (ALP) is partially covered by Medicaid.
Adult Home (AH) Is a broad term used to describe long-term residential care including meals, room &
board, housekeeping, personal care, home care services, supervision and medication management for
five or more adults.
Enriched Housing Program (EHP) Also provides long-term residential care for five or more adults in an
apartment like setting. The program provides meals, room & board, housekeeping, personal care, home
care services, meals, supervision and medication management for five or more adults.
Assisted Living Residence (ALR) Is a certified AH or EHP which has obtained additional licensure from
the Department of Health (DOH) to operate as and ALR. Services included are room & board, 24/7 on-
site monitoring, medication management, personal care services, home care services, meals, case
management and development of an individual service plan (ISP).
Enhanced Assisted Living Residence (ELAR) Is a category under ALR, these facilities are certified to
provide more care than a basic ALR. Residences can be admitted or retained if they need another
person to help them walk, transfer, climb or descend stairs or operate medical equipment. Residents
might need intermittent nursing care with things like eye drops, injections, catheter care, colostomy
care, PRN medication administration, skilled observances which need to be reported to a physician,
dressing changes, and any other nursing service consistent with the Nurse Practice Act. Enhanced beds
can “float” within a facility.
Special Needs Assisted Living Residence (SNALR) Is a category under ALR, these facilities are certified to
provide care tailored to the needs of a specific populations, like residents with dementia. These settings
provide a secure environment and specialized services to meet a resident’s needs.
Assisted Living Program (ALP) Is care provided in and AH or EHP facility which has obtained an
additional license from the Department of Health (DOH) to provide care as an alternative to nursing
home placement for some individuals. Services provided include room & board, meals, housekeeping,
supervision, medication management, personal care, case management and home health services. The
cost of personal care can be covered by Medicaid for qualified individuals.
It is important to remember assisted living may not be able to provide end of life care in all situations.
If care needs cannot be safely met at this level assistance is provided to find the right residential
setting, often at a higher level of care like a Skilled Nursing Facility (SNF)/nursing home.