STATE PROFILE • Last updated: April 23, 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.
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RANKED #2
GRADE A
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
A
Grade
AFFORDABILITY
MODERATE
QUALITY
MODERATE
STAFFING
MODERATE
ACCESS
MODERATE
MEDICAID SUPPORT
STRONG
Composite score: 56.5 / 100
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District of Columbia At a Glance
Nursing Home Facilities
17
Senior Medicaid Waivers
1
National Rank
#2 / 51
Senior Care Costs in District of Columbia
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Assisted Living
$6,978/mo
+52.0% vs national avg
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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Memory Care
$8,722/mo
+52.0% vs national avg
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Home Health Aide
$35/hr
+29.6% vs national avg
- Median aide wage $18.95/hr
- ~11,490 aides employed statewide
Source: BLS OEWS