The fees for ALSM programs vary between programs for many reasons. If you are interested in learning the fee or cost of a particular service, please email or call the location directly. Please note that third party payments are accepted for almost all of ALSM's services. For example, Medicaid and Medicare may pay for skilled nursing care, SSI for personal care, Title XX for child care, and Office of Aging funds for adult day services at the Senior Daily Living Centers.