The answer will depend on the laws in your state. In Massachusetts, the answer is yes. The grandchild can stay in the house and just pay for maintenance. This may not be the case in the other 49 states. To find out for sure, we recommend that you consult with a local elder law attorney or even your state Medicaid agency. To find an attorney near you, go here: http://www.elderlawanswers.com/elder-law-attorneys.