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Has anything happened concerning your room?
If you are living in an apartment that is suited for 1 person like a 1 bedroom or Studio I doubt they can move another person in. (There may actually be Fire or Building Codes that specify the occupancy of the rooms.)
If you are in a Double then I am sure they can.
If you don't have this kind of contract, unfortunately they can make you share.
So to answer your question ... yes, they can require you to accept a roommate, provided the facility meets the min. required square footage requirements for each person. I think in AZ the minimum requirement for shared accommodations is 60 sq ft per resident but you should check on this.
Medicaid pays such a low rate, that every facility I know of is losing money on Medicaid residents (which is why ALs often require that you are private pay for a certain length of time before they will accept you on Medicaid). To give you an example.... even though it was a different type of facility in a different state, NJ - long term care... my facility was the most reasonable in the county because it was government owned. We charged $220 per day per resident (and trust me that didn't cover operational costs). Medicaid gave us $178.43 per person.
Not sure how ALs operate in AZ but you could look at see if there are others that might accept Medicaid that have only private rooms. I hear your discomfort though. It is hard to have a roomie even if they are wonderful when you are not used to it.
Wishing you good luck on this journey
In my State of NJ when living in an AL you need to pay privately for at least two years to apply for Medicaid. And of course the AL has to except medicaid. My impression is that you would stay at that AL because that is who you paid privately to. You can't then go to another AL and expect them to take your medicaid since you have not paid a penny to them privately. Applying for medicaid helps you stay in that AL.
Medicaid is for people who have little to no income. Medicaid pays very little and facilities/drs have to accept allowable amount. Most NH/facilities have some Medicaid beds and others are self pay. Those folks with money self pay for their privacy.
You might want to look around. There are more facilities around that only have private rooms and they also have Medicaid beds. You might find something where room was actually set up for a single bed, so little chance of turning it into a double room later on
You mentioned an apartment. How many rooms are in your apartment? Is there enough room for two people to share one bedroom or is there two bedrooms/one bath set-up?
When my Mom was in a nursing home, she had to share a room with a room-mate, and Mom was self-pay [paying $12k per month]. The facility had no private rooms.
Perhaps there will be more facilities like this who lost patients and will take on Medicaid beds to improve their revenue.
You need to know that rules that apply to nursing homes, et al, do not apply to ALF. They are seperate businesses, much like renting out apartments, and have their own rules. Ask your facility to show you the rules as printed in their printed materials.
If not, the standard for Medicaid is semi private. If there is family that will gift you, through the al if they allow it, the upgrade to a private room, that could be an option. A private room however is not so much a need as it is a privilege.