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I cannot afford the up-charge as I am not currently working. Have had to quit several jobs to make sure mom is taken care of.

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You must pay the difference as mentioned above...and if the resident fails to get along with roommate, a request to be moved can be submitted.
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No, on Medicaid you get a semi-private room. Usually the roommates get along OK and bond with each other. It's not a bad thing. My sister loves her roommate.
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