Documented absence
The jurisdictions that will not publish the number
Federal law lets each state set the figure that decides how long Medicaid will not pay. Six jurisdictions have written that requirement into their own rules and then not published the number. We went looking for each one. This is what we found, and who we asked.
Alabama
What the rule requires
Uncompensated value ÷ the average monthly cost to a private patient for nursing facility services in the state at the time of application, Ala. Admin. Code r. 560-X-25-.09.
Why there is no number here
The rule requires a statewide figure 'as determined by Medicaid' but states no amount, and Alabama Medicaid publishes no schedule. The agency's site now has valid TLS; its web-application firewall, not TLS, blocks non-browser clients.
What we are doing about it
Email Alabama Medicaid's required public-records form to public.records@medicaid.alabama.gov and request the current and historical figures used under 560-X-25-.09(5)(b).
District of Columbia
What the rule requires
29 DCMR §9803.6 requires DHCF to determine one average monthly cost annually, using a single standard figure for all LTCSS applicants.
Why there is no number here
The rule requires the annual statewide figure, but it appears in none of DHCF's 2024–2026 transmittals, LTCSS resources, DC Register or DCMR pages.
What we are doing about it
Records request to DHCF Division of Eligibility Policy at DCMedicaidquestions@dc.gov for the annual figures used under §9803.6.
Hawaii
What the rule requires
HAR §17-1725.1-57(a) requires the statewide average monthly cost of nursing-facility services to a private patient.
Why there is no number here
The chapter publishes no schedule. Subsection (e)(1) instead requires DHS to put the figure in each individual denial notice.
What we are doing about it
Request the current and historical statewide averages from Hawaii DHS Med-QUEST.
Idaho
What the rule requires
IDAPA 16.03.05.834 divides uncompensated value by the statewide average private-patient nursing-facility cost.
Why there is no number here
The rule defines a statewide figure, but IDHW publishes no current amount or schedule.
What we are doing about it
Records request to IDHW Division of Self-Reliance for the current and historical figures.
South Dakota
What the rule requires
ARSD 67:46:05:09 uses the current-fiscal-year statewide average of private-pay long-term-care costs.
Why there is no number here
DSS does not publish its eligibility manual or current figure. A 2023 state presentation gives $275.02/day, proving a figure exists but not that it remains current.
What we are doing about it
Ask South Dakota DSS for the current figure and its history. The 2023 presentation shows that a figure exists, not what today's figure is.
Vermont
What the rule requires
HBEE Part Four §25.04 uses the statewide average daily private-pay nursing-facility cost as of application or discovery.
Why there is no number here
No current figure appears in DVHA, DCF/ESD bulletins, Choices for Care, Division of Rate Setting, or the LTC application materials.
What we are doing about it
Request the operative figure from Vermont DVHA; also watch proposed amendment 25-P028.
Why this page exists
Other sites that list these figures do print a number for these six. We went looking for a state document behind those numbers and could not find one, and we are not willing to publish a figure nobody has read. A family acting on an invented number can lose months of paid care.
A blank is not a gap in the research. It is the finding. If you work for one of these agencies and the figure exists, we would rather be corrected than be right: contact@thecareledger.org.
Three further states — Alaska, Illinois and Nebraska — are not on this page. They set no single statewide figure by design. In Illinois and Nebraska the penalty turns on what a particular facility charges; in Alaska it turns on the average private-pay cost in the person's own community. That is a different thing from a figure that exists and is not published, and conflating the two would misdescribe both.