Half of state Medicaid plans are unable to report the number of critical incidents of actual or potential abuse, neglect, or exploitation of beneficiaries living in assisted living programs. Nine states could not track incidents by provider type; nine states lacked a system to collect critical incident reports; and five states lacked an incident reporting system that could identify Medicaid beneficiaries.

Assisted living facilities are considered a community residential setting in which a Medicaid beneficiary with functional disabilities can receive home- and community-based services (HCBS). The services and supervision of an assisted living facility allow aged and disabled beneficiaries . . .

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