 There are various levels of residential care homes for seniors, which is the traditional medical system of assessments, which differs from developing person-centered plans and support services for persons who may have substantial health care needs and also from new managed Medicaid care plans.In addition, in some fields, the plan is for the individual to age in place in their group home setting.Personal care assistance is often associated with aging in place and independent living services; local governments have been reluctant to pay for other than limited services in the homes (one study stated up to 20 hours maximum, others 3–4 hours per week), in spite of a nationwide decades press toward our own governments.