Spend Downs at Assisted Living Facilities in the Denver
When professionals in the senior living industry discuss ways, an individual can pay for care and housing, you may hear terms such as private pay, spend down, and straight Medicaid. It can be confusing! In the Denver Metro area there are many assisted living facilities that only accept private pay funds for care and housing. They are not licensed to receive Medicaid funds from the state of Colorado.
Many facilities choose to only accept private pay residents because the Medicaid reimbursement rate is much lower than they can receive from residents who are able to private pay. Other facilities accept private pay and spend downs, while some facilities accept private pay and straight Medicaid. When a resident is allowed to private pay for a certain period of time and then go onto Medicaid, it is known as a spend down. The term Straight Medicaid is generally used for facilities that accept Medicaid payment without requiring a spend down; in this scenario a resident can move in if they are approved for Medicaid or are enrolled in the InnovAge PACE program, depending upon the facility.
A resident is not eligible for Medicaid at an Assisted Living Facility until they have less than $2,000 in assets and less than $2,094 per month in income. If the resident spends their assets for their care and housing at the “Medicaid approved” facility, but still has more than $2,094/month in income, the facility that accepts Medicaid will work with the resident and either allow the resident to pay the “Medicaid rate” or require that the resident pay their monthly income to the facility (and allow the resident to keep what they could keep for spending money on Medicaid – approximately $105/month).
There are a few Large assisted living facilities and numerous Residential Assisted Living facilities (also known as Personal Care and Boarding Homes) that will allow a one to two year spend down. Facilities which allow a resident to spend down, will either accept 1) Medicaid, 2) Medicaid and InnovAge, or 3) InnovAge, depending upon the facility. If a resident is enrolled in the InnovAge PACE program, facilities are reimbursed by InnovAge, and in turn, Medicaid reimburses InnovAge for the resident’s care.
If you refer to the Denver Metro Senior Blue book, it appears that there are lots of facilities that accept Medicaid, but there is one BIG caveat. Many of the facilities require an individual to pay privately for one to two years before they will accept Medicaid reimbursement. Some indicate that they accept Medicaid, but when you contact them, they actually accept InnovAge.
On another note, we also find many families are misguided and believe Medicare or supplemental health insurance will pay for care and housing. Medicare DOES NOT cover care and housing. Only private funds, Medicaid and InnovAge pay for care in Assisted Living facilities. Medicare may cover temporary stays at Rehab facilities, but never long-term care at an Assisted Living Facility.
Still confused or unfamiliar with the InnovAge PACE program? Our Advisors would be happy to discuss with you what would be your best option, based on your finances and care requirements.
Planning for the next chapter in life comes with many decisionsand one of the biggest questions seniors and their families face is: What will senior living cost, and how can we prepare? With a variety of care levels and housing options available, understanding the true cost of senior living is essential for making confident, informed choices.In this guide, well explore what impacts the cost of senior living, break down common types of care and pricing structures, and offer tips to help you find the right fit for your needs and budget.Why Understanding the Cost of Senior Living MattersWhether youre a senior looking to downsize or a caregiver researching options for a loved one, budgeting for senior living can feel overwhelming. Monthly expenses, care services, insurance, and long-term needs all factor into the equation. By understanding the cost of senior living ahead of time, you can avoid surprises, plan accordingly, and ensure the best possible quality of life.Key Factors That Affect the Cost of Senior LivingSeveral variables influence what youll pay for senior living. Location is one of the biggest factorscommunities in metropolitan or coastal areas tend to have higher rates. The level of care you need, the size of your living space, and the amenities offered (like dining plans, transportation, or wellness programs) will also affect the overall cost.Generally, the more specialized the caresuch as memory care or skilled nursingthe higher the cost.Understanding Your Senior Living OptionsIndependent Living: Designed for seniors who are still active and need little to no assistance, independent living communities offer private apartments with access to social activities and amenities. These typically cost between $2,000$4,000 per month.Assisted Living: For those who need help with daily tasks like bathing, dressing, or medication management, assisted living provides personalized care in a residential setting. Monthly rates range from $3,500$6,500 depending on services and location.Memory Care: This specialized form of assisted living supports individuals with Alzheimers or dementia. Memory care includes additional security, staff training, and programs, with costs averaging $4,000$7,000 per month.Skilled Nursing Facilities: For seniors who need medical supervision or rehabilitation, skilled nursing offers 24/7 care. These facilities are often covered in part by Medicare for short-term stays, but long-term care can exceed $8,000 monthly.Home Care Services: For those wishing to age in place, home care provides assistance right at home. Services include companionship, personal care, and nursing, and typically cost between $20$35 per hour.Senior Housing Financial Planning TipsWhen planning for senior living, consider these financial tips:Start Early: Begin exploring your options before a crisis occurs. This allows time to evaluate costs, benefits, and locations with less stress.Assess Your Finances: Understand your monthly income, assets, insurance coverage, and long-term financial goals.Explore Funding Sources: Medicare, Medicaid, veterans benefits, long-term care insurance, and reverse mortgages may help offset costs. Be sure to consult with a financial advisor or elder law professional for guidance.Ask for Price Transparency: Some communities offer all-inclusive rates, while others use tiered pricing based on care levels. Dont hesitate to request a full breakdown of costs and whats included.Use a Trusted Resource: Seniors Blue Book offers a comprehensive directory of senior housing and services across the country. You can filter by care level, location, and even price to help narrow your options quickly and confidently.Common Mistakes to AvoidDont wait too long to planemergency decisions often lead to rushed and expensive choices. Avoid assuming one size fits all; different communities offer different atmospheres and services. Lastly, dont overlook additional costs like transportation, supplies, or lifestyle preferences, which can add up.How Seniors Blue Book Can HelpAt Seniors Blue Book, we make it easier for seniors, caregivers, and families to navigate the cost of senior living with confidence. Our free online directory helps you compare communities, home care providers, and senior-focused services in your area.We provide practical, up-to-date information on everything from financial planning to choosing the right housingensuring you have access to the tools and resources you need to make empowered decisions.Final ThoughtsSenior living is not one-size-fits-all. Understanding the cost of senior living and exploring your options early on allows you to align care needs with budget goalswhile also giving peace of mind to your family.If youre beginning to research senior living, or need help comparing costs and care options, were here to support you every step of the way. Seniors Blue Book is your go-to source for trusted senior resources, housing directories, and expert insights.Lets make your search easier and smarter.Contact Seniors Blue Book today at hello@seniorsbluebook.com or call 800-201-9989 for a free consultation. Well provide you with a personalized care and financial assessment, along with helpful tips you can implement right away. Explore your options with confidencebecause informed decisions lead to better outcomes.
Oral health is about much more than a clean smile. For older adults, brushing and flossing can become difficult due to arthritis, memory loss, or physical limitations. When dental care is missed, harmful bacteria build up. And they dont stay in the mouth.Research has found links between gum disease and a range of serious health issues: heart disease, pneumonia, diabetes complications, and more recently, dementia. In studies, bacteria associated with gum infections have even been found in the brains of people with Alzheimers disease, suggesting a role in inflammation and cognitive decline.The good (but not-so-new) news? Professional cleanings and oral screenings help reduce bacteria, spot issues early, and protect overall health. And theyre not just for those with medical conditionseven healthy individuals benefit from reaching the areas daily brushing and flossing miss.Dental care is healthcare. For aging adults, it plays a vital role in maintaining comfort, dignity, and quality of life.Mouth health is whole-body healthespecially as we age. Editors Note: This article was submitted by Jacob H. Nguyen, RDH. Jacob is a Direct Access Dental Hygienist and Founder of Dental Carvan. For more information he may be reached at 303-210-0999.
Whether your aging parent is transitioning to assisted living, downsizing to a senior apartment, or moving in with family, planning ahead can ease the stress for everyone involved. Moving in later life comes with unique emotional and physical challenges, but you dont have to do it alone.As a senior living placement company in the Greater Pittsburgh area, weve helped many local families navigate this journey with confidence and compassion. Here are six practical tips to support you and your loved one every step of the way.1. Start Small and Share the LoadLets face it: a lifetime of memories can be hard to pack. Many older adults have spent decades in the same home, surrounded by treasured keepsakes and familiar routines. The thought of letting go can be overwhelming.Heres how to lighten the emotional load: Begin with low-sentiment spaces like guest rooms or bathrooms. That first win builds momentum. Sort together. Create keep, donate, and pass along piles. Encourage your loved one to gift meaningful items to children, grandchildren, or close friends. Make it meaningful. Donating to local Pittsburgh charities or giving heirlooms to family members can bring peace of mind. 2. Consider Senior Move Management ServicesHiring a professional can make a world of difference. While friends and family are often eager to help, a neutral third party especially one trained in working with older adults can ease tension and smooth the process.Look for services like: Senior move managers who specialize in downsizing and relocation for older adults. Companies affiliated with the National Association of Senior Move Managers (NASMM) for trustworthy help. Local resources in Pittsburgh that offer packing, organizing, estate sales, and post-move support. If youre juggling work, caregiving, and moving logistics, outsourcing some of these tasks can give you much-needed peace of mind.3. Make Travel Safe and ComfortableGetting from point A to point B isnt always easy for older adults. Whether youre moving your loved one across town or across state lines, transportation should fit their health and comfort needs.Travel tips for seniors: Add buffer time. Frequent breaks help with circulation and comfort. Plan around mobility needs. For flights, request wheelchair service and pre-boarding. For car trips, pack medications, snacks, and extra pillows. Look into senior transportation services. In Pittsburgh and beyond, some companies offer non-emergency medical transport, including services equipped with stretchers, wheelchairs, or even nursing staff. 4. Set Up Health Care Before the MoveA new ZIP code may mean a new doctor, pharmacy, and care team. Take care of these logistics early to ensure a smooth transition especially if your loved one has ongoing health needs.To-do list: Transfer prescriptions to a nearby pharmacy. Verify insurance coverage in the new area check which local specialists and clinics are in-network. Connect with a geriatric care manager. These experts often know the best local healthcare providers and in-home care agencies in Western PA. Having a plan in place ensures continuity of care from day one.5. Help the New Space Feel Like HomeEven if the new apartment or assisted living suite is smaller, it can still feel cozy, familiar, and full of life. Small touches make a big difference.Ideas to personalize the new home: Recreate familiar spaces by placing photos and dcor just as they were before (snap a few reference photos before packing). Unpack favorite blankets, books, or that special coffee mug first. Bring beloved furniture or artwork, and explore fun updates like a new recliner or colorful accent wall. Many senior living communities surrounding Pittsburgh encourage residents to decorate their rooms to reflect their style this helps ease the emotional transition.6. Emphasize the PositivesYour loved one may be leaving behind a house filled with memories, but theyre also stepping into a new chapter one filled with support, activities, and connection.Help them see the bright side: Less worry. No more home maintenance or mowing the lawn. More connection. Many assisted living communities offer events, exercise classes, and outings. Opportunities for joy. Explore local senior centers, volunteer programs, or art classes in their new neighborhood. Encourage them to explore and celebrate whats next.Ready to Take the Next Step?Moving a senior loved one can feel like a huge undertaking but you dont have to navigate it alone. As a trusted senior living advisor in Pittsburgh, weve helped thousands of families find the right care options, whether it's assisted living, independent living, memory care, or downsizing solutions. Let us guide you through the process from personalized placement help to local resource referrals. Contact us today at Serving Our Seniors to speak with a compassionate senior care advisor who truly understands the Pittsburgh area.
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!
Let us help you find the best care and housing option for your loved one - Assisted Living, Independent Living, Memory Care or Skilled Nursing. As Senior Care Advisors with over 12 years experience, we know the level of care each community or small home provides, their reputation and cost. We will help determine your loved ones physical care needs and what will be the best fit for them socially. As a neutral party, we tour the communities/homes with you and help you ask the right questions. We stay with you as your liaison, sounding board, and advocate for 3 months after you move in. Read our 5 Star reviews on Google and Yelp!