...So, who helps with the cost? Many people think Medicare will help with these costs. Medicare does not generally pay for assisted living, though some states have programs where seniors who qualify can choose how to spend the money allotted to them through some hybrid programs involving Medicare. Medicaid doesn't often pay for assisted living either, though again, some states have programs where Medicaid can help. To find out if the state where your elders live offers any programs that may help pay for assisted living, I'd suggest that people start their search on their official state website. Search for your state department of aging affairs. Links on the site will take you to any programs your state may provide.