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The most common source of assistance is Medicaid, which offers several state-based programs to people who are eligible based on income or disability. These programs include home- and community-based services, adult foster care, and Medicaid personal care services.
There are also many assets that Medicaid considers to be exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts (also called personal funeral trust accounts) up to $9,999, and generally ones primary home.
The national median cost for a nursing home stay is $255 per day and $7,756 per month for a semi-private room. For a private room, which jumps up to $290 per day and $8,821 per month. For assisted living, the national median cost is $4,300 and $4,576 for in-home care with caregivers.
Income Asset Limits for Eligibility 2023 Massachusetts Medicaid Long-Term Care Eligibility for SeniorsType of MedicaidSingleIncome LimitAsset LimitInstitutional / Nursing Home Medicaid$1,215 / month (eff. 3/1/23 2/28/24)*$2,000Medicaid Waivers / Home and Community Based Services$2,742 / month$2,0001 more row Feb 27, 2023
Non-countable assets include: a primary residence (as opposed to a vacation or second home), provided that the applicant intends to return to the home or a spouse, dependent child, an adult disabled child, or a sibling who has an equity interest in the home continues to live in the home; household goods and personal
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Figure 1 shows LTSS spending by payer for 2021. Public sources paid for the majority of LTSS spending (71.4%). Medicaid and Medicare are, respectively, the first- and second-largest public payers, accounting for a combined 64.1% of all LTSS spending nationwide in 2021.
Medicaid is a joint federal and state program that helps people who have a limited income and resources pay medical costs. It is the largest single payer for nursing home care in the country.
Who pays for nursing home care? The most common payment methods for nursing homes include government health care programs like Medicare and Medicaid, private pay options such as savings and retirement funds, and individual insurance plans.

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