Dist. of Columbia Assisted Living & Home Care: Costs & Financial Assistance 


This webpage will help the residents of the District of Columbia and the surrounding suburbs to better comprehend elder care costs in their area. This includes pricing options and various financial aids for assisted living, adult day care, as well as home care services, both in the home and in residential facilities.

While this page provides a comprehensive view of what is available from the District of Columbia, it does not include programs that are available at a national level. In order to search for nationwide assistance, and the best program to meet your needs and situation, make sure to use our free Resource Locator Tool.

Did You Know?  The cost of assisted living in the surrounding suburbs of the Capital region can be up to 20% less expensive than assisted living in the immediate District area. 

Washington DC Elder Care Costs for 2017

Assisted Living / Memory Care

In 2017, the average cost of assisted living in the District of Columbia is $6,750 / month. This is one of the highest rates in the nation and is well above the national average rate of $3,650 / month. However, in the surrounding cities of Washington, Arlington, and Alexandria, the average cost is considerably lower at $4,450 / month. This includes a very broad range of $2,050 - $8,650 / month though.

Memory care, also called Alzheimer’s care, regardless of location, costs approximately $8000 - $1,300 more each month. This figure is above and beyond the cost of traditional assisted living.

Home Care

The average rate for home care across the District of Columbia in 2017 is $16.50 / hr. However, the hourly cost of home care in the Washington area is more expensive at approximately $18.75 / hour.

Home health care, which provides minimal medical care, is also available. This type of care is provided by medical professionals, and on average, costs $8 / hour more than does home care throughout the District of Columbia. However, unlike home care, home health care in the Washington area is much more affordable than the rest of the district at approximately $1.75 / hour more than home care.

Adult Day Care

In 2017, the average cost of adult day care is $98 / day throughout the District and its surrounding suburbs. Somewhat confusingly, despite being quoted a daily rate, adult day care usually works on a half-day fee structure. 


Financial Assistance Programs

Medicaid Assistance Programs for the Elderly

Like the rest of the United States, the District of Columbia State Medicaid program covers the cost of nursing home care in addition to limited personal care. The District of Columbia also offers one Medicaid-based assistance waiver program, which provides home and community based services outside of nursing homes.

The Elderly and Persons with Disabilities (EPD) Medicaid Waiver program is designed to help eligible applicants to continue living at home or in an assisted living facility, as opposed to requiring nursing home care. Services via this waiver include housekeeping, home modifications, meal preparation, personal emergency response systems, and personal care services. An added benefit is that personal care may be self-directed and family members may be hired as caregivers. More details can be found here.

The District of Columbia requires that in order to qualify for Medicaid as a disabled or elderly person, one must be a resident and is at least 65 years of age or disabled. The monthly income cap is set at $2,205 for single applicants. Medicaid candidates cannot have countable resources (which exclude the value of one's home and a single vehicle) in excess of $2,000. Married applicants are subject to a different set of rules, which are dependent on whether both spouses are seeking Medicaid assistance. If one is over the income and / or asset limits or is married, it is highly advisable that one seeks the assistance of a professional Medicaid planner. Learn more here.


State (Non-Medicaid) Assistance Programs

In the District of Columbia there is a non-Medicaid assistance program for the purpose of providing financial assistance for housing repairs and home modifications. This is intended to enable disabled and elderly residents of D.C. to continue to live independently in their homes in a safe environment, and to avoid having to move to more expensive nursing homes. Click on the program below to get more information on specific benefits and eligibility guidelines.

Senior Citizens Home Repair Program

Similar to the program above, there’s another non-Medicaid program that provides financial aid (grants and loans) to elderly and disabled individuals in order to make home modifications and repairs. Via this program, there is an additional benefit for seniors where $10,000 of a loan does not need to be repaid. To learn more details about this program and the eligibility requirements, click on the program name below.

Single Family Residential Rehabilitation Program (SFRRP)

Additionally, in the District there is a unique program that provides support for unpaid caregivers. Benefits include caregiver flex accounts, educational programs, telephone support, counseling, and in-home assessments. Click below on the program name to learn more.

District of Columbia Caregivers’ Institute


Other Financial Options for Care

Complementing these ‘state-specific’ options are also many federal and local programs. The Resource Locator Tool will help you to find these other programs and choose the most suitable one for your needs and circumstances. Make sure to take advantage of this tool to find programs in and out of the District of Columbia that may be use to maximize financial assistance for senior care costs.


Finding Affordable Care in the District of Columbia

Granted the unique status of the District of Columbia and its surrounding areas, it is almost as if the varying range of costs for different services is within one city, rather than a state. Either way, it would behoove individuals and families to contact as many service providers as possible in order to find the most affordable care. To assist families with this task, our organization has a service, free of charge, which serves as a matchmaker. Basically, special care needs and providers in one’s area who matches one’s needs by price range are located. Click here for assistance in finding the best, most affordable care possible.