The Utah Medicaid answer, verified
Yes - Utah Medicaid's New Choices Waiver (a 1915(c) HCBS waiver run by the Utah Dept. of Health and Human Services, Office of Long Term Services & Supports) covers 'adult residential services' and other supports for people who live in a licensed Type I or Type II assisted living facility, but like all HCBS waivers it does not pay room and board, which the participant pays from their own income. Here is what that means in practice for Centerville families - eligibility, what waivers cover, and what stays out of pocket.
Assisted living near Centerville compares against a national median of $6,200 a month - and Utah's own median of $5,475, ranked #38 of 50 states.
A semi-private nursing home room runs $9,581 a month at the 2025 national median - the number Centerville families weighing skilled care start from.
In-home care averages $35 an hour nationally - about $80,080 a year at 44 hours a week for Centerville households.
The honest Utah answer, verified against official sources: Yes - Utah Medicaid's New Choices Waiver (a 1915(c) HCBS waiver run by the Utah Dept. of Health and Human Services, Office of Long Term Services & Supports) covers 'adult residential services' and other supports for people who live in a licensed Type I or Type II assisted living facility, but like all HCBS waivers it does not pay room and board, which the participant pays from their own income. Eligibility is strict - income and asset limits apply, and there is typically a five-year look-back on gifts and transfers - so families planning a Medicaid path should talk to an elder law attorney early.
Yes - Utah Medicaid's New Choices Waiver (a 1915(c) HCBS waiver run by the Utah Dept. of Health and Human Services, Office of Long Term Services & Supports) covers 'adult residential services' and other supports for people who live in a licensed Type I or Type II assisted living facility, but like all HCBS waivers it does not pay room and board, which the participant pays from their own income. Whatever your state covers, one rule is nearly universal: waivers pay for care services, and the family still handles living costs - so a Medicaid path still needs a budget.




The 2026 numbers
| Care type | 2025 national median | What it covers |
|---|---|---|
| In-home care | $35/hour | Non-medical help at home - meals, bathing, companionship |
| Adult day care | $95/day | Daytime supervision and activities, evenings at home |
| Assisted living | $6,200/month | Housing plus daily-living help; care-level fees extra |
| Memory care | typically 20-40% above assisted living | Secured dementia care with higher staffing |
| Nursing home (semi-private) | $9,581/month | 24/7 skilled medical care |
| Nursing home (private room) | $355/day | Same care, private room |
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Utah: Medicaid, prices and the inspection file
| Question | Utah answer |
|---|---|
| Medicaid & assisted living | Yes - Utah Medicaid's New Choices Waiver (a 1915(c) HCBS waiver run by the Utah Dept. of Health and Human Services, Office of Long Term Services & Supports) covers 'adult residential services' and other supports for people who live in a licensed Type I or Type II assisted living facility, but like all HCBS waivers it does not pay room and board, which the participant pays from their own income. |
| State median, assisted living | $5,475/month (#38 of 50 states) |
| Licensing & inspection records | Utah Department of Health and Human Services, Division of Licensing and Background Checks (Office of Licensing) - health facility licensing |
Utah licenses two levels in statute: a 'type I' assisted living facility for residents who can exit the building without another person's help, and a 'type II' assisted living facility providing coordinated personal and health care services 24 hours a day in a home-like setting.
This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.

What this means for Centerville families
The home-versus-community math is mostly hours: in-home care at $35 an hour serves people who need help, not supervision. Past roughly 40 hours a week - or any point where safety needs someone present around the clock - assisted living at $6,200 a month usually costs less than equivalent home coverage.
This guide is research, not advice: an independent summary of published costs and state rules. It is not a care provider, placement agency, law firm or financial advisor - care and Medicaid decisions deserve professional advice for your family's situation.
Common questions
What questions expose a bad facility fastest?
Three: What is the caregiver-to-resident ratio on nights and weekends? How long has the current administrator been here? What happens when private funds run out? Communities that answer all three plainly and in writing are the shortlist.
Does Medicaid pay for assisted living?
It depends entirely on your state: 36 states cover some assisted living services through waivers, 9 cover them in limited settings, and 6 have no assisted living pathway at all. Even where covered, waivers typically pay for care services while the family handles room and board. This guide's Medicaid page gives your state's verified answer.
How much does in-home care cost?
About $35 an hour at the 2025 national median - roughly $80,000 a year at 44 hours a week. Since the 2025 survey, non-medical caregivers are tracked as a single category, so quotes for 'homemaker' versus 'home health aide' services should no longer differ much for non-medical help.
What fees do communities add on top of rent?
Care-level fees (assessed need tiers that can add $500-1,500+ monthly), medication management, and one-time community or move-in fees are the big three. Always compare communities on the all-in monthly number at your parent's assessed level - base rent alone is a marketing figure.
When should we start looking?
Before the crisis. Good communities near you have waitlists, and emergency placements take whatever bed is open at premium rates. Touring while your parent is stable costs nothing, builds the shortlist, and turns a future emergency into a phone call.
Find senior care options near Centerville
These platforms show communities and home-care agencies near you with pricing guidance. Advisors are free to families - providers pay them, as they do this site.
Disclosure: this is an independent guide. If you connect with a provider through a link here, the platform may pay this site a referral fee. That fee never changes your price - and it never changes what the inspection records say.
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