State-County Special Assistance (For adult care home residents)

State/County Special Assistance (SA) provides a cash supplement to low-income individuals to help pay for room and board in residential facilities. These facilities include:

  • Adult care homes
  • Family care homes
  • Group homes


To be eligible for SA, individuals must be age 65 or older or disabled and live in a residential facility approved for SA. The facility must agree to accept the state rate for SA residents. Individuals who are eligible for SA are automatically eligible for Medicaid.

Adult Care Home residents who have Alzheimer’s disease or a related disorder may reside in a licensed Special Care Unit in an Adult Care Home. The State/County Special Assistance program provides a different rate of assistance for Adult Care Home recipients who reside in a Special Care Unit.

How to Apply

To apply for State/County Special Assistance, please contact your local Department of Social Services.

More Information

SA/SCU Program Informational Brochure

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