Paying for Assisted Living & Home Care in Arkansas (2024)

Page Reviewed / Updated – March 6, 2023

This webpage is intended to help the residents of Arkansas understand the different types of eldercare assistance available in their state, from their state. Our Resource Locator Tool, which is free to use, should be used to search for nationwide assistance.

The programs listed on this webpage are only comprised of options available from the state of Arkansas. Many other national programs do exist.

Did You Know?

For the elderly with moderate care needs, adult day care is the most cost effective approach. Furthermore, finding adult day care outside of large urban areas can be nearly 45% less expensive than inside more densely populated areas.

Arkansas Eldercare Costs for 2023

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Assisted Living / Memory Care

According to Genworth’s most recent Cost of Care Survey, the 2021 monthly average cost of assisted living in Arkansas was $3,760. However, the average range across the state was quite large, with $3,329 / month on the low end to $4,500 on the high end. In the least expensive area of the state, Pine Bluff, care could be found with an average cost of $3,329 / month. In the more expensive parts of Arkansas, Little Rock and Hot Springs, the average monthly costs were between $4,488 and $4,500 / month.

Memory care, also referred to as Alzheimer’s care, is also available. However, it is approximately 20% – 30% more expensive than traditional assisted living due to the need for increased security and supervision. It is estimated that this type of care costs an additional $665 – $1,350 / month.

Home Care

When it comes to home care costs, per Genworth’s 2021 Cost of Care Calculator, the average hourly rate for the state was $21.95 / hour. Jonesboro was less costly than the statewide average at $20.50 / hour. And the areas of Hot Springs, Little Rock, and Fort Smith were slightly more expensive at $21.90 to $22.50 / hour. The most expensive hourly rate was found in Fayetteville at $26.

For those requiring home health assistance, home health care is also available at a similar rate, with the average cost at approximately $22 / hour throughout the state.

Adult Day Care

Overall, adult day care can provide the most affordable care option for senior citizens and their families. According to the Genworth Cost of Care Calculator, the average cost of adult day care in Arkansas in 2021 was $80 / day. Though it ranged from $72 / day on the low end to $94 / day on the high end. The city of Hot Springs had the lowest daily cost at an average of $72 / day, and Jonesboro was on par with the state average at $80 / day.

Arkansas Medicaid Financial Assistance Programs

Medicaid Programs & Waivers for the Elderly

In Arkansas, the Medicaid state plan will cover the cost of living in a nursing home facility, as well as limited personal care in the home and community.

Personal Care Program

Via this state Medicaid program, which is an entitlement program, assistance with Activities of Daily Living (ADLs) and Instrumental Activities of Daily Living (IADLs), such as grooming and dressing, preparing and eating meals, and medication assistance, is provided. In order to receive services, they must be deemed necessary by a physician.

HCBS Waivers
Medicaid also offers Home and Community Based Services (HCBS) Waiver programs. These programs are designed to serve elderly residents in their current place of care, instead of in much costlier nursing home facilities. This is intended to help seniors reduce dependence on family members and to live more independently. Functionally, the applicants must require a nursing home level of care, but be willing to live at home or in assisted living instead. Unlike the state Medicaid program, Medicaid Waivers are not entitlement programs, which means there are enrollment caps, and wait lists may exist.

Currently, Arkansas provides three Medicaid Waiver programs:

AR Choices in Homecare

Intended to provide services to prevent the institutionalization of seniors living at home or in the home of a family member, a variety of services are provided to promote independent living. Benefits include attendant care, adult day care, respite care, and home modifications.

Living Choices Assisted Living Waiver

This wavier covers the cost of care services at assisted living facilities. But it does not cover the cost of room and board. Benefits may include attendant care, nursing evaluation, monitoring of medication, and more. Assistance may also be provided for those currently living in a nursing home but wish to transition into congregated (group) housing.

Independent Choices Program

While this program is not a waiver program, in and of itself, it is an option for seniors who are receiving services via the Personal Care Program or the AR Choices Waiver. This program provides counseling and gives monthly cash allowances to qualified applicants to use on what they see fit for their personal care. This program also covers the cost of home modifications, such as wheelchair ramps, and Personal Emergency Response Systems (PERS). An attractive component of the Independent Choices Program is that applicants can hire select family members, such as adult children, as care providers. Applicants must meet disability status / medical need criteria in order to qualify for this program option.

Medicaid Eligibility

As of 2023, in general terms, to qualify for these Medicaid programs in the state of Arkansas, a single applicant cannot exceed $2,742 in monthly income. This amount is equivalent to 300% of the current Federal Benefit Rate.

The asset limit is set at $2,000 for an individual. While this figure may seem low, several assets are considered exempt, or said another way, are not counted toward the asset limit. These include one’s primary home, as long as the applicant or their spouse lives in the home and the equity value is not greater than $688,000, one automobile, and prepaid funeral and burial arrangements.

Both income and assets can be partly distributed to one’s spouse, if over the limit, as long as the spouse is not also applying for Medicaid.More about qualifying for Medicaid.

Arkansas Non-Medicaid Assistance Programs

Arkansas does not currently have any state non-Medicaid care assistance programs available. However the state does offer senior citizens financial assistance for home energy costs. One can download an application for this type of assistance here. Home delivered meals and transportation assistance are also provided free of charge, or heavily subsidized, to eligible seniors through the state’s network of Area Agencies on Aging (AAA).Find your local AAA.

PACE Programs in Arkansas

The Program of All-Inclusive Care for the Elderly (PACE) is a joint initiative between Medicare and Medicaid to help seniors get the care and services they need in the community rather than transitioning to a nursing home for care. Because Medicaid differs in each state, PACE eligibility varies between states.

Arkansas residents may qualify for the Program of All-Inclusive Care for the Elderly (PACE) if they need nursing-home-level care and meet eligibility requirements. The program covers an array of health care services, including transportation and home care. To qualify for PACE, Arkansas seniors must:

  • Be 55 or older
  • Live in an area served by PACE
  • Certify as eligible for nursing home care by Medicaid or another approved agency

How To Get Started with PACE in Arkansas

Seniors and their families can visit the Arkansas Medicaid website to learn more about or apply for PACE. The following providers can also help with PACE applications and using the program’s benefits.

PACE Provider

Contact

Areas Served

Total Life Health Care

(870) 207-7500

Craighead County

PACE of the Ozarks

(479) 463-6600

Washington County

Complete Health with PACE

(501) 376-8852

Pulaski County

Other Financial Options for Care

Along with these state-sponsored options, there are several more ways one can receive assistance in paying for care. Other options to consider are programs at the federal level, as well as local and non-profit routes. Our Resource Locator Tool is a great source to use to find such reduced-cost programs and should be utilized to find the program that best meets one’s needs.

Finding Affordable Care in Arkansas

To find more affordable care options in Arkansas, click here.

There are many good reasons to search for a broad range of providers in the state in order to find more affordable care options. Things like in-home care can be much more affordable and cost-stable than a skilled nursing facility, especially in more populated urban areas. Our organization provides free matching services to meet people’s unique needs for eldercare services and their budgets.

Top Cities for Senior Care in Arkansas

For more information about the costs and resources available in Arkansas cities, click on the links below.

Top Cities for Memory Care

  • Little Rock

Top Cities for Assisted Living

  • Conway
  • Little Rock
Paying for Assisted Living & Home Care in Arkansas (2024)

FAQs

How is most assisted living care usually paid for? ›

To pay for your assisted living care, you may consider a combination of these methods:
  • Private funds.
  • Proceeds from selling a home.
  • Long-term care insurance.
  • Veterans' aid.
  • Life insurance.

Who pays for assisted living in Arkansas? ›

Yes, Arkansas offers financial assistance programs such as Medicaid waivers that can help eligible seniors cover the costs of assisted living. Programs vary based on income, residency, and other factors. Cities like Little Rock and Fort Smith have resources to guide seniors through the application process.

What is the difference between Level 1 and Level 2 assisted living in Arkansas? ›

Facilities are designated as Level I or Level II Assisted Living. Unlike Level I facilities, Level II facilities must employ or have a registered nurse (RN) on staff. ALF requirements for the two levels are the same unless otherwise noted. There have been no regulatory or legislative changes in the past year.

How much does in home care cost in Arkansas? ›

$20.00/hour

As of April 2024, the average base rate for a home care in Fayetteville, AR is $20.00 per hour. The weekly cost for a home care working a 40-hour week in Fayetteville, AR is $800 while the monthly cost is approximately $2,600 for 130 hours of work.

What happens to senior citizens when they run out of money? ›

Seniors who reside in an assisted living facility and run out of funds will be evicted. Elderly individuals who are unable to turn to family for financial support and have no money can become a ward of the state. This may be the case if the senior develops a health emergency and is no longer able to live alone.

What is the cheapest way for a senior to live? ›

One option for seniors is to downsize to a smaller home, apartment, or condo. This can help reduce housing expenses such as rent, mortgage payments, property taxes, insurance, and maintenance costs. Seniors can also consider sharing a living space with family members, friends, or roommates to further reduce costs.

What is the average cost of assisted living in Arkansas? ›

Multiple factors influence the cost of assisted living in Arkansas. Many of these factors depend on the type and level of care you need. Long-term care financial company Genworth reported in 2021 that the average cost of assisted living in Arkansas is $3,760 per month. This cost has increased by 7.43% in the last year.

What are the requirements for assisted living in Arkansas? ›

General Requirements

Age – Living Choices Assisted Living Waiver is open to all state residents 65 years of age or older. Persons 21-64 years of age are eligible if they have been designated as physically disabled or blind by Social Security. Residency – Program participants must be residents of the state of Arkansas.

Does Medicaid pay for assisted living in Arkansas? ›

Arkansas's Medicaid Personal Care program provides long-term care benefits to Arkansas seniors who live in their own home, the home of a loved one, a residential care facility or a Level I assisted living facility and require help with at least one of the Activities of Daily Living (mobility, bathing, dressing, eating, ...

What is the difference between residential care home and assisted living? ›

Assisted living facilities are typically bigger than residential care homes when it comes to the number of residents. The level of care in residential care homes are more personal since one caregiver is assigned to three to four senior residents.

What is Level 1 assisted living in Arkansas? ›

Level I facilities provide 24-hour supervision by awake staff; assistance in obtaining emergency care 24 hours a day (this provision may be met by an agreement with an ambulance service or hospital or emergency services through 911); assistance with social, recreational, and other activities; assistance with ADLs; ...

What is the look back period for Medicaid in Arkansas? ›

Medicaid's Look-Back Rule

Arkansas has a 60-month Medicaid Look-Back Period for Nursing Home Medicaid and Medicaid Waivers that immediately precedes the date of application. During the “look-back”, Medicaid checks all asset transfers to ensure none were sold or gifted under fair market value.

How much is a nursing home per month in Arkansas? ›

The average cost of a nursing home in Arkansas is about $6,000 a month, so we're talking about $72,000 a year. Most seniors are living on fixed income or Social Security, and there's no way they can afford that. Even if they draw from their savings, if they have any, they will quickly deplete whatever is there.

How much does 24 hour care at home cost us? ›

Cost of Older Adult Care Comparison Chart
Type of CareChargeNational Monthly Median Cost
Home careHourly$18,144 (24/7 care at $27 per hour)
Assisted-living communitiesMonthly$4,500 (private one-bedroom)
Nursing homesMonthly$7,908 (semi-private room); $9,034 (private room)
Continuing care retirement communitiesMonthly$3,555

How much does it cost to have a companion? ›

The cost of hiring a companion can vary widely, depending on factors like location, the level of care required, and the frequency of visits. Average cost of in-home care is about $32 per hour in the United States, translating to a daily cost of approximately $256 and a monthly cost of $5,120.

Does the state of California pay for assisted living? ›

In California, Medi-Cal sometimes pays long-term nursing home and home care costs if you can't afford the cost of a nursing home. Long-term care like nursing homes, assisted living facilities, and home care are expensive, and private health insurance policies generally don't cover those services.

What is the average cost of assisted living in the US? ›

The average cost of assisted living in the United States is $4,500 per month, or $54,000 annually. The cost of assisted living varies depending on the type of community or facility, the state you live in, and the level of care you need.

Does Social Security pay for assisted living in California? ›

California. In 2024, California provides a monthly SSI state supplement of about $630 to residents of assisted living communities. Because the Social Security Administration oversees the supplement for California, beneficiaries get a single payment that combines the federal and state aid.

Who pays for most nursing home care? ›

Most health care costs are covered if you qualify for both Medicare and Medicaid. Most, but not all, nursing homes accept Medicaid payment.

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