The Pennsylvania Medicaid answer, verified
No - Pennsylvania has no Medicaid assisted living waiver or benefit; the Department of Human Services states there is 'generally no third party reimbursement' for Personal Care Homes or Assisted Living Residences, so residents pay privately, and low-income residents rely on SSI plus the state-funded Personal Care Home Supplement (currently $639.30/month) to help offset room and board. Here is what that means in practice for Freeburg families - eligibility, what waivers cover, and what stays out of pocket.
Assisted living near Freeburg compares against a national median of $6,200 a month - and Pennsylvania's own median of $6,480, ranked #21 of 50 states.
A semi-private nursing home room runs $9,581 a month at the 2025 national median - the number Freeburg 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 Freeburg households.
The honest Pennsylvania answer, verified against official sources: No - Pennsylvania has no Medicaid assisted living waiver or benefit; the Department of Human Services states there is 'generally no third party reimbursement' for Personal Care Homes or Assisted Living Residences, so residents pay privately, and low-income residents rely on SSI plus the state-funded Personal Care Home Supplement (currently $639.30/month) to help offset room and board. 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.
No - Pennsylvania has no Medicaid assisted living waiver or benefit; the Department of Human Services states there is 'generally no third party reimbursement' for Personal Care Homes or Assisted Living Residences, so residents pay privately, and low-income residents rely on SSI plus the state-funded Personal Care Home Supplement (currently $639.30/month) to help offset room and board. 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 |
Find senior care options near Freeburg
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Pennsylvania: Medicaid, prices and the inspection file
| Question | Pennsylvania answer |
|---|---|
| Medicaid & assisted living | No - Pennsylvania has no Medicaid assisted living waiver or benefit; the Department of Human Services states there is 'generally no third party reimbursement' for Personal Care Homes or Assisted Living Residences, so residents pay privately, and low-income residents rely on SSI plus the state-funded Personal Care Home Supplement (currently $639.30/month) to help offset room and board. |
| State median, assisted living | $6,480/month (#21 of 50 states) |
| Licensing & inspection records | Pennsylvania Department of Human Services, Office of Long-Term Living (OLTL), Bureau of Human Services Licensing (BHSL) |
Pennsylvania licenses two different things families both call 'assisted living': the Personal Care Home (55 Pa. Code Ch. 2600) and the higher-acuity, aging-in-place Assisted Living Residence (Ch. 2800) - most Pennsylvania communities marketed as assisted living are actually licensed Personal Care Homes, and only an ALR license carries the higher care authority.
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 Freeburg families
Home care keeps your parent in familiar surroundings and costs less at low hours; communities win on 24/7 coverage, social contact and predictable pricing. The wrong choice is usually the one made in a crisis - which is why running these numbers early matters more than getting them perfect.
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
How much does assisted living cost?
The U.S. median is $6,200 a month ($74,400 a year) per the 2025 CareScout Cost of Care Survey - before care-level fees, which add hundreds more at higher need levels. State medians vary widely; this guide shows your state's number and rank on every page.
What is memory care and why does it cost more?
Memory care is assisted living specialized for dementia - secured areas, higher staffing, trained caregivers - and typically prices 20-40% above standard assisted living in the same market. If dementia is in the picture, ask specifically about memory-care rates and staff training, not the general rate.
Should my parent stay home with help or move to assisted living?
Run the hours math first: in-home care at about $35 an hour serves people who need help, not round-the-clock supervision. Below about 30-40 hours a week, home usually costs less; past that - or when safety needs someone always present - assisted living's $6,200 median often buys more coverage. The right answer follows the care needs, not the buildings.
How do I check a facility's inspection record?
Every state has a licensing or certification agency that publishes inspection results and complaint histories - this guide links your state's agency on every page. Search every finalist before any deposit: violations, complaint patterns and how the operator responded tell you more than the tour.
Does long-term care insurance actually help?
If your parent bought a policy years ago, yes - claim it early, as most policies have elimination periods before benefits start. Buying new coverage in one's 80s is generally not realistic. Check old files: policies bought decades ago are routinely forgotten and unclaimed.
Find senior care options near Freeburg
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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