Because of the specialized staff training and resources required to provide high-quality memory care, memory care typically costs more than other types of residential care. On average, memory care will cost 20-30% more than assisted living.
In Wisconsin, the average monthly cost of assisted living is $4,350. This is several hundred dollars more than the national monthly average of $4,051. Assuming that memory care will cost, on average, 25% more than assisted living, one can expect to pay approximately $5,437 per month for residential memory care in Wisconsin.
Within the state, the cost can vary significantly. In the Madison area, for example, assisted living costs an average of $3,950 per month. In Milwaukee, one can expect to pay an average of $4,485. And in the Oshkosh area, the cost soars to an average of $5,471 per month. Keep in mind that these prices are for standard assisted living, and memory care may cost $1,000-$2,000 more per month, depending on the area and specific facility.
The Family Care Medicaid Waiver is intended to assist adults over the age of 65 who need help with their activities of daily living pay for long-term care. The state defines “long-term care” as any service or support that one needs to complete activities of daily living and other basic tasks, like paying bills, so beneficiaries have some autonomy over the services received. The benefit may be used to pay for in-home memory care as well as care in a residential facility, though the program is intended to prevent unnecessary moves to a residential care facility.
IRIS stands for Include, Respect, I Self-Direct. This Medicaid program assists frail elders and other adults with disabilities pay for long-term care. Program participants receive a monthly stipend from the state, and are free to use those funds to completely self-direct their care. This may include nursing services, adult day care, home modifications, and more.
The Alzheimer’s Family and Caregiver Support Program (AFCSP) provides those with Alzheimer’s and related disorders with financial assistance to pay for services associated with Alzheimer’s. The program is designed to benefit those with dementia as well as their families. Funds from the program may be used to pay for services including in-home care, adult day care, respite care, and transportation services. Certain goods, including delivered meals, medical alert systems, and nutrition supplements, may also be paid for with funds from the AFCSP.
The size of the benefit that one receives varies from person-to-person. Each county and tribe in Wisconsin is given a set amount of money to distribute to qualifying residents. Up to $4,000 may be allocated per person.
In addition to the state programs mentioned above, those looking for resources to finance memory care may consider:
In Wisconsin, assisted living facilities that are permitted to care for those with memory impairment fall under the category of community-based residential facilities (CBRFs). The Wisconsin Department of Health Bureau of Assisted Living regulates these facilities and handles licensing and registration.
As part of the licensing process for CBRFs that provide care for people with dementia, the facilities must have a detailed description of the special care services they will offer these residents. To ensure continuous quality, the licensing department conducts unannounced inspections every two years and in response to complaints.
CBRFs may provide care, treatment, and other assistive services beyond room and board to residents. The level of care is limited to intermediate nursing care, and no more than three hours of nursing care may be administered to an individual resident per week. CBRFs are permitted to admit and provide services to those with dementia, but not those who require around-the-clock or advanced nursing services.
Additionally, CBRFs are required to provide certain services unrelated to health care, including:
CBRFs may admit a wide range of residents, but there are certain restrictions as well. The below table gives an overview of who may or may not be admitted.
|Residents Who May Be Admitted||Older adults and people with:
|Residents Who May NOT Be Admitted||Those who:
CBRFs must assess each individual person’s abilities, physical and mental condition, and care needs prior to admission. These assessments must be completed, at minimum, once per year, or anytime a resident’s needs or abilities change.
Immediately upon admission, CBRFs must develop a temporary, individualized service plan, and a comprehensive, long-term service plan must be developed within 30 days of admission. The plan must include which services a resident will receive, and at what frequency.
Residents of CBRFs are permitted to administer their own medications unless they have been found incompetent to do so by their physician. When necessary, medications may be administered and/or directed by a registered nurse, nurse practitioner, or pharmacist. Certain medications, including nebulizers, injectables, and medications administered rectally or vaginally must always be administered by a nurse.
CBRFs may have both private and double-occupancy rooms with shared bathrooms. All facilities must have, at minimum, one toilet, one sink, and one tub or shower for every 10 residents.
Residents’ rooms must be clean and odor-free, and all residents who wish to do their own laundry must have access to a laundry facility.
CBRFs must have resident care staff who are responsible for directly caring for residents, as well as an administrator, who oversees the resident care staff and the day-to-day operation of the facility. There are no minimum staff ratios, but facilities must have enough employees present to meet residents’ needs on a 24-hour basis.
All resident care staff must undergo training prior to performing any job duties. The training must include, at minimum, a Department of Health approved training in medication management, first aid, fire safety, and standard precautions. Facilities must ensure additional, adequate trainings in resident rights, reporting abuse, and, for some, development of service plans and provision of personal care. All staff of CBRFs that offer memory care must undergo training in managing the physical and psychological needs of persons with dementia within 90 days of employment.
Additionally, facility administrators and resident care staff must receive 15 hours of continuing education annually.
Standard Medicaid does not cover room and board in CBRFs. However, Wisconsin has two Medicaid waiver programs- Family Care and IRIS- which people with dementia may use to cover the cost of certain memory care services that they receive while living in a CBRF.
Anyone with a concern or complaint about the quality of care or treatment of residents in a CBRF should contact the Office of the Long-Term Care Ombudsman. The ombudsman may also be reached by phone at 800-815-0015.
|Dementia Care Specialist Program||To find a Dementia Care Specialist in your area, contact your local ADRC.||Dementia Care Specialists provide those with dementia and their caregivers with free support including assistance with care planning, educational presentations and meetings, and more.|
|Alzheimer’s and Dementia Alliance of Wisconsin||608-232-3400||The Alzheimer’s & Dementia Alliance of Wisconsin strives to improve the lives of those living with dementia and their families with support services and enrichment programs.|
|Alzheimer’s Association Wisconsin Chapter||800-272-3900||The Wisconsin Chapter of the Alzheimer’s Association offers educational resources and support services for those with dementia and their families and supports funding and research efforts.|
|Music & Memory Program||608-266-1865||This state-funded program incorporates music as a component of memory care in nursing homes and assisted living facilities.|
|Memory Screening||608-266-1865||The state has a memory screening manual to support memory screening in the community and early dementia diagnosis.|
|Dementia-Capable Wisconsin||608-266-1865||Dementia-Capable Wisconsin is a comprehensive state plan to improve conditions for Wisconsin residents living with dementia and their families and/or caregivers. Its high-level goals include reducing stigma and improving support for caregivers.|