If you're pricing assisted living in Mississippi for a parent, plan around roughly $4,445 a month, a figure that sits among the lowest in the country. Before that number settles anything, know that Mississippi doesn't license "assisted living" by that name. It licenses it as a Personal Care Home.

This guide walks through how the Mississippi State Department of Health licenses these homes, what assisted living really costs here, and where Mississippi Medicaid does and doesn't fit.

In This Guide

What Assisted Living in Mississippi Is

If you've toured places in another state, you're probably expecting one category called "assisted living." Mississippi uses a different name on the license, and it's worth slowing down on that before you start comparing buildings.

In Mississippi, assisted living is licensed as a Personal Care Home. The Mississippi State Department of Health (MSDH), through its Division of Health Facilities Licensure and Certification, licenses two classes of these homes: a Personal Care Home with an Assisted Living designation and one with a Residential Living designation. The Assisted Living class is the one you're almost certainly looking for. It's the setting allowed to provide personal care plus supplemental services, which can include medication administration and an emergency response system, under Mississippi's minimum-standards rules (Title 15 of the state code) and Mississippi Code Section 43-11-13.

So when a place calls itself "assisted living" in Mississippi, the question that actually tells you something is which license it holds. A home has to hold the right license to operate at all, so this isn't a branding detail. It's the line between a place that can administer your parent's medications and respond to an emergency and one set up for residents who need less hands-on help.

Personal Care Home: Assisted Living Personal Care Home: Residential Living
What it provides Personal care plus supplemental services Personal care in a residential setting
Supplemental services Can include medication administration and emergency response More limited
Licensed by MSDH Division of Health Facilities Licensure and Certification MSDH Division of Health Facilities Licensure and Certification
Governing rules Title 15; Miss. Code 43-11-13 Title 15; Miss. Code 43-11-13

Before you fall for the décor at any one place, ask which license it holds and confirm it against MSDH records. The designation tells you what the home is actually allowed to do for your parent.

What It Costs

Mississippi runs well below the national line for assisted living, which is genuinely good news if you're budgeting. In the Genworth/CareScout 2024 Cost of Care Survey (released 2025, the most recent state-level data), the median cost of assisted living in Mississippi was about $53,343 a year, roughly $4,445 a month, compared with about $70,800 a year nationally. These are industry-survey medians, not government rates, so treat them as a starting point for a budget, not a quote. Costs vary within the state and rise as care needs grow.

Nursing-home care in Mississippi runs far above assisted living, which matters when you're weighing settings against each other. Here's how the survey's Mississippi medians compare:

Setting Approximate annual median Approximate monthly
Assisted living ~$53,343 ~$4,445
Homemaker services ~$51,480 (44-hour-per-week basis)
Home health aide ~$57,200 (44-hour-per-week basis)
Nursing home, semi-private room ~$115,705 ~$9,642
Nursing home, private room ~$118,625 ~$9,885

One caution when you compare quotes. The price a place advertises is usually a base rate covering the room, meals, and a basic level of help. Care often gets billed in tiers on top of that, so a resident who needs more hands-on help, including medication administration, pays more, sometimes a lot more. Ask every place for a written breakdown: what's in the base rate, what's an add-on, how care needs get assessed, and how often the rate rises.

Help Paying: Mississippi Medicaid

This is where families most often get caught short, so let's be plain about it. A standard assisted living stay in Mississippi is largely private-pay, and Mississippi Medicaid does not pay a resident's room and board. If you've been picturing Medicaid covering the rent the way people imagine it covering a nursing home, that's the assumption to set down now, before it shapes a budget.

There's a real exception worth understanding, though. The Mississippi Assisted Living Waiver can cover the supportive services an eligible resident receives inside a participating home. What it can't cover is the room and board, because federal rules bar Medicaid from paying that part. So the picture is split: the waiver may help with the cost of the care itself, while your parent still pays the rent and meals from their own income. That's meaningful help for the right family, but it isn't Medicaid paying the whole bill.

To qualify for Mississippi's long-term-care Medicaid, the financial rules are strict, with one wrinkle that catches people off guard. Per the Mississippi Division of Medicaid 2026 long-term-care guidance, the monthly income limit for a single applicant in 2026 is about $2,982 a month before deductions, and the countable-resource limit is $4,000 for an individual. That $4,000 figure is higher than the $2,000 limit most states use, so don't assume Mississippi follows the usual line. A spouse who remains in the community is protected separately, with a resource share of up to $162,660 in 2026. A nursing-home resident on Mississippi Medicaid pays most of their monthly income toward the cost of care and keeps a personal needs allowance of $44 a month ($90 for a veteran or surviving spouse who receives a $90 VA pension).

Two more things to plan for, because they can change whether and when someone qualifies. Mississippi applies a five-year (60-month) look-back to assets given away or transferred for less than fair value, which can create a penalty period that delays eligibility. And the state recovers from the estates of people who were age 55 or older and in a nursing facility or a home and community-based waiver at the time of death. If your parent's income or assets are near the line, it's worth understanding the rules before anyone applies, because how money is handled in the years beforehand matters. Our guides to Medicaid Planning Strategies and the Medicaid Personal Needs Allowance, Explained cover the questions that come up most.

How to Vet a Facility

Records tell you the history; a visit tells you the present. Do both, and do the records first.

  1. Confirm the license class, not just the word. Ask whether the home holds a Personal Care Home Assisted Living license, the class allowed to provide supplemental services like medication administration, and confirm it against MSDH records. A Residential Living home is set up for less hands-on help, so matching the class to your parent's needs spares a forced move later.
  2. Get the base rate and the care tiers in writing. Ask what the headline price covers, what counts as an add-on, how care needs are assessed, and how often rates rise.
  3. Sort out who pays before you fall in love with a building. Since Mississippi Medicaid won't cover room and board, be clear about how a private-pay stay would be funded and for how long, and whether the Assisted Living Waiver might help with the service costs at a participating home.
  4. Read the contract and termination terms, and tour around a mealtime. A home should put in writing what it provides and the conditions under which a resident could be asked to leave. Go around a mealtime, when staffing and the real feel of a building are hardest to stage.

Bring the contract home and read it without a salesperson in the room. If the refund, care, or termination terms are unclear, have a family member or an elder law attorney look it over before anyone signs. The goal isn't a perfect place. It's one whose limits you understand going in.

Frequently Asked Questions

The statewide median is about $4,445 a month, roughly $53,343 a year, in the 2024 Genworth/CareScout Cost of Care Survey, which puts Mississippi among the lowest-cost states, well below the national median of about $70,800 a year. These are approximate industry-survey medians, not government rates, and the advertised price is usually a base rate before care add-ons, which rise with a resident's needs.

In Mississippi, assisted living is a personal care home. The state licenses a Personal Care Home with an Assisted Living designation and one with a Residential Living designation, and the Assisted Living class is the one allowed to provide supplemental services such as medication administration and emergency response. So the word on the brochure matters less than the license class the home actually holds.

The Mississippi State Department of Health licenses and regulates these homes through its Division of Health Facilities Licensure and Certification, under Title 15 of the state code and Mississippi Code Section 43-11-13. MSDH also keeps the records you can check before choosing a place.

Not for room and board. Mississippi Medicaid does not pay a resident's rent and meals in assisted living, so that part is private-pay. What it can do is cover the supportive services a resident receives inside a participating home through the Mississippi Assisted Living Waiver, while the resident still pays room and board from their own income.

For a single applicant in 2026, the long-term-care Medicaid income limit is about $2,982 a month before deductions, and the countable-resource limit is $4,000, which is higher than the $2,000 limit most states use. A community spouse is protected separately with a resource share of up to $162,660, and Mississippi applies a 60-month look-back to asset transfers and recovers from the estates of people age 55 or older who were in a nursing facility or a waiver at death.

Learn More

Find personalized help comparing Personal Care Home Assisted Living options in Mississippi at brevy.com.


The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.

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Brevy Care Team

Expert eldercare guidance from Brevy's team of healthcare professionals and researchers.