STATE PROFILE • Last updated: November 11, 2026
District of Columbia Elder Care & Medicaid
The District of Columbia offers comprehensive senior Medicaid through the EPD Waiver, providing home and community-based services with generous asset limits despite high local care costs.
leaderboard
RANKED #10
GRADE B
FEATURED
Medicaid Coverage Guide for District of Columbia
Full breakdown of Elderly & Persons with Physical Disabilities Waiver for seniors: waiver programs, nursing home eligibility, income and asset limits, spend-down rules, and how to apply.
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Program
Elderly & Persons with Physical Disabilities Waiver
Income cap
$2,982/mo
Medically-needy
Yes
Elder Care Index Report Card
5-pillar composite scoring vs other states
B
Grade
AFFORDABILITY
GRADE F · 0
QUALITY
GRADE A · 77
STAFFING
GRADE A · 100
ACCESS
GRADE A · 84
MEDICAID SUPPORT
GRADE A · 62
Composite score: 67.7 / 100 (50 = average state)
Methodology arrow_forward
District of Columbia At a Glance
Nursing Home Facilities
17
Senior Medicaid Waivers
1
National Rank
#10 / 51
Range #2–#25 when the pillar weights shift
Senior Care Costs in District of Columbia
local_hospital
Nursing Home
$11,952/mo
+8.3% vs national avg
- 17 nursing homes · 2,485 beds
- Avg CMS rating 3.53★ (5 rated 5★, 1 rated 1★)
- 4.85 nurse hrs/resident/day (1.74 RN)
Source: CMS Nursing Home Compare
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home_health
Home Health Aide
$35/hr
+29.6% vs national avg
- Median aide wage $18.95/hr
- ~11,490 aides employed statewide
Source: BLS OEWS
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