Mom approved for Hospice care. Will Medicare pay the room and board in assisted living?

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She already is living in an assisted living facility.

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In our quest as to the next step for my 91 year old mother-in-law, who physically is in good shape but mentally is showing signs of dementia, we have found what Igloo says above is the way it does indeed work. Assisted Living (which she definitely fits the criteria for) would only be an option if she can pay for it...which she can't, and she would have to be in much worse shape than she is for a nursing home. Since your Mom has been approved for hospice that appears to be the way you need to go but unfortunately not in an AL facility. Good Luck!
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Hospice is a great Medicare benefit. It will cover medically related costs - like nursing and health equipment needs (speciality bed or chairs, O2, etc) whether at home or in a facility. Hospice like all medicare benefits do not pay long term room & board costs. That is private pay or Medicaid or perhaps a LTC policy.

Also most AL do not take Medicaid. Some AL may have a few beds for a Medicaid diversion program which is filled from a waiting list of existing private pay residents.

Before you get too along in this, please speak clearly with the AL. Most AL require that the residents be able to do their ADLs. If mom is at the point of qualifying for hospice, she is viewed as less than 6 months to live. Can she really do what is expected of an AL resident? It may be that is if she is approved for hospice that she will need a higher level of care than an AL. If she needs to be moved, you want to work with hospice as to what facility can be best and do this soon so hospice & new facility can start at the same time, same place. Good luck.
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