Cost, answered plainly

How much does a supported home cost?

Who actually pays — and why most eligible people pay little out of pocket.

For someone who qualifies, the cost is usually covered, not paid out of pocket: Medicaid (through an HCBS waiver) pays the support services, and the resident’s SSI pays room and board. Private-pay rates exist and vary widely by state and level of care — there’s no single national price. To get a real number, ask the specific home and your state Medicaid agency.

If the person qualifies for Medicaid + SSI

Most residents of Medicaid-funded supported homes pay little or nothing out of pocket: Medicaid’s HCBS waiver pays the services, and the resident’s SSI pays room and board (sometimes with a state supplement). That’s the two-stream model that funds a bed — see Does Medicaid pay for supported homes?

Sources: Medicaid.gov HCBS — medicaid.gov; SSA (SSI) — ssa.gov/ssi.

If paying privately

Private-pay rates vary a lot — by state, by the level of care and supervision, and by the home. There is no single national price, and we won’t quote one we can’t stand behind. Ask each home for its rate and exactly what it includes, and check whether a waiver could cover part of it. Our Placement Funding Finder maps who pays by state and situation.

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Related

About Mai Heaven: this page is educational, not eligibility advice. We build small, permanent supported homes — also called group homes — for adults who are hard to place. Join the waiting list and we’ll reach out when a home opens near you. Need help now? Call or text 988, or dial 211.