Free senior care guidance for Twin Cities families. No cost to you, ever.
Call (651) 390-4719
Minneapolis Senior AdvisorTwin Cities • Trusted • Free

What Happens When the Money Runs Out

Spend-down, Medicaid waiver transitions, and why you should ask a community about this before you move in.

HomeCosts & PayingWhat Happens When the Money Runs Out
Short answer

If private funds run out, the options generally are a Medicaid HCBS waiver for care inside a licensed community, Medicaid nursing facility coverage, or moving to a community that holds a waiver provider agreement. Confirm your state's specific programs before relying on this.

Ask before you move in, not after

This is the single most consequential question families skip. A community that does not hold a Medicaid waiver provider agreement will ask your parent to leave when private funds are exhausted — often with short notice, at the point when moving is hardest.

Ask directly: do you hold a Medicaid waiver provider agreement, and how many current residents use it? A community can technically hold an agreement and still have no waiver capacity available.

How families pay for care. Minnesota's Elderly Waiver and Alternative Care programs pay for care services -- never room and board -- and VA Aid and Attendance can add tax-free monthly income for eligible veterans. Read the full explanation →
The local long-term care ombudsman. Minnesota's Office of Ombudsman for Long-Term Care (1-800-657-3591) is a single statewide office covering the entire Twin Cities metro. Read the full explanation →

Questions families ask

My parent keeps wandering — what safety and licensing questions should I ask a facility?

Ask directly whether the community holds the 'assisted living facility with dementia care' license, which is legally required for any secured dementia unit and mandates dementia-specific staff training under Minn. Stat. 144G.83. A base assisted living license without this designation is not licensed to operate a secured wandering-prevention unit.

I'm burning out as a caregiver for my spouse or parent — what help is available in the Twin Cities?

Trellis, the metro's Area Agency on Aging, funds and coordinates caregiver support and respite programs, and the Senior LinkAge Line (1-800-333-2433) is the free starting point to connect with them. A verified current adult day services rate for the metro was not located in this research and should be confirmed directly with a provider before budgeting.

My parent's money is running out — what are our options in Minnesota?

The Elderly Waiver (for those already Medical Assistance eligible) and Alternative Care (a state-funded bridge program for those not yet eligible) are Minnesota's two main HCBS programs for seniors approaching or facing a financial shortfall, both covering care services but not room and board. No confirmed waitlist status for either program was found in this research — check current availability with DHS or a county human services agency.

My spouse needs more care than I can provide at home — how do I protect our finances?

Minnesota's Community Spouse Asset Allowance (Minn. Stat. 256B.059) lets a healthy spouse protect between roughly $32,532 and $162,660 in assets, plus a Minimum Monthly Maintenance Needs Allowance of income between about $2,705 and $4,066.50 per month, when a spouse enters Medicaid-covered long-term care — figures that should be reconfirmed for the current year with a county financial worker or elder-law attorney.

My parent fell and can no longer live alone — what should we do first?

Start with a call to the Senior LinkAge Line (1-800-333-2433) to request a MnCHOICES assessment, which determines whether a nursing-facility level of care is needed and opens the door to Elderly Waiver-funded in-home services, adult foster care, or licensed assisted living, depending on the assessed level of need and the family's preference.

Not sure where to start?

Answer five questions and a local advisor will come back with senior care options in your area that actually fit your situation and budget. It is free, and there is no obligation.

Find care options
Find senior care — free