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| Group Residential Housing (GRH) is a state-funded income supplement program that pays for room-and-board costs for low-income adults who have been placed in a licensed or registered setting with which a county human service agency has negotiated a monthly rate. |
| • GRH pays for room and board in a number of licensed or registered settings, including Adult Foster Care, Board and Lodging Establishments, Supervised Living Facilities, non certified Boarding Care Homes and various forms of Assisted Living Settings registered under the Housing with Services Act. |
| • There are over 4,300 GRH settings in the state. |
| • A county human service agency must approve placement in the GRH setting. |
| • GRH may make service payments for disabled and elderly adults in foster care and other settings if the person cannot access service payment from another source, such as Home and Community-Based waiver programs. |
| • If a person is eligible for GRH, he or she is eligible for Medical Assistance without a spenddown. |
| • Effective July 1, 2007, the GRH room and board limit is $757 per month. |
| • The GRH payment limit for services for persons who are eligible is $487.13 per person per month for a Difficulty of Care payment in Adult Foster Care settings, and $487.13 per person per month for a Supplementary Service payment in Board and Lodge with Special Services settings. |
| • The GRH program serves a monthly average of 15,300 disabled and elderly people. |
| • Approximately 11 percent of GRH persons are seniors. |
| • Of those clients under 65 years of age, 39 percent are on the Mental Retardation/Related Conditions waiver; 15 percent are on the other waivers, Community Alternative Care, Community Alternatives for Disabled Individuals and Traumatic Brain Injury; 19 percent are general assistance clients. |
| • A total of $84,100,000 was spent in FY 07. |
| • The average monthly payment for room and board and services per recipient was about $458. |
| • The majority of the settings – about 4,200 - are adult foster care. |
| • For FY 2008-09, the projected biennial forecast cost is $182.3 million. This amount includes room and board costs as well as service costs in foster care homes and facilities that have been grand fathered into law. All GRH payments are made to the GRH vendor on behalf of the eligible recipients. |
| Currently, if an eligible person needs to live in a licensed setting and needs additional services, he or she may receive the services in the setting. Persons residing in a setting with a GRH rate are usually considered to be living in the community in their own home. As such, these persons can receive services from most community sources, such as home care and home and community-based waiver programs. |
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