STAR+PLUS Room and Board: Why Families Still Receive a Monthly Charge

Families are sometimes surprised to receive a monthly charge even after STAR+PLUS is approved. It is normal and expected — here is why.

STAR+PLUS HCBS covers care services, not housing. Room and board — the cost of the apartment and meals — remains the resident's responsibility, which is why a monthly charge still applies.

What the monthly charge pays for

The monthly room-and-board charge covers the resident's living space and daily meals. Medicaid's coverage is for the care services delivered under the approved plan, not for the housing itself.

Why the amount can vary

The charge can be influenced by the resident's income and applied-income rules. Two residents at the same facility may have different room-and-board amounts based on their financial situations.

Plan for it early

Knowing about the room-and-board charge in advance prevents surprises. Our cost and room and board guide and what STAR+PLUS does not cover explain more.

Frequently asked questions

How much does a resident pay in STAR+PLUS assisted living?

The resident pays a room-and-board charge for housing and meals. The exact amount varies by facility and can be affected by the resident's income and applied-income rules.

Why do I still get a bill if Medicaid was approved?

Because Medicaid covers care services, not room and board. The monthly charge is for the apartment and meals, which remain the resident's responsibility.