Do not mistake or confuse Assisted Living facilities with Nursing Homes. 

Nursing Homes residents generally require a higher level of medical care and supervision than residents of assisted living facilities. when a Nursing Home resident spends down their assets Medicaid will step in due to medical necessity.

Medicaid will not provide benefits for an assisted living facility. Assisted living facilities are private pay and provide an intermediate step between independent living and nursing homes. The medical deductions for assisted living facilities would be restricted to the medical expense portion of the  ‘letter’ that Bob referred to.