What Programs Are Available To Assist Elderly Adults in Florida?

What Medicaid Waiver Programs are in Florida? Florida has several waivers including:

  • Assisted Living for the Elderly;
  • Alzheimer's Disease Program (Expired);
  • Channeling for the Frail Elderly;
  • Aged and Disabled Adult;
  • Project AIDS Care;
  • iBudget Florida;
  • DD Individual Budgeting;
  • Familial Dysautonomia Waiver;
  • Model Waiver;

What state department operates the Medicaid waiver program for elderly adults in Florida? Prior to 2014, The Florida Department of Elder Affairs administered several waivers for older adults. In 2014 Those waivers were phased out and replaced by Managed Care. The Statewide Medicaid Managed Care Long-term Care Program (SMMC LTC), Administered by AHCA

What programs assist older adults in Florida?

➢ Prior to the implementation of SMMC LTC, Florida offered several types of Medicaid HCBS waiver programs.
➢ The services provided by these “legacy” waivers are now provided by SMMC LTC.

History- Piror to 2014, The Florida Department of Elder Affairs administered the following waivers for older adults: Aged and Disabled Adult Waiver (ADA); Assisted Living Waiver (ALW); and The Channeling Waiver; Consumer-Directed Care Plus Program (CDC+).

The elderly waivers were phased out by region from August 1. 2013-March 1, 2014 and enrollees were transitioned into the new Statewide Medicaid Managed Care Long-term Care (LTC) program.

What is the best number to call to get started? Call the Elder Helpline at 1-800-96-ELDER (1-800-963-5337) to find out if you or your loved ones are eligible to receive benefits and services from one or more of Florida's programs for elderly people.

Is there a website?

Who Qualifies For Assistance?

Who Qualifies For Florida's Elderly Waiver?
Individuals that meet the following criteria are eligible to receive services under the Diversion Program:

  • Age 65 and over
  • Dually eligible for Medicaid and Medicare Parts A & B
  • Live in the authorized program areas
  • Be determined by the Comprehensive Assessment and Review for Long-Term Care Services (CARES) unit at the Department of Elder Affairs to be at nursing home level of care and meet one or more established clinical criteria.
Is There a Waiting List For Services?

How long is the waiting list in Florida? Florida has nearly 50,000 seniors on the waiting list for waiver services.

What Services Are Offered & What Are The Service Limitations?

What services does the Florida Medicaid waiver program offer? The Florida Diversion waiver services include a choice of at least two providers for case management, adult companion, adult day health, assisted living, chore, consumable medical supplies, environmental accessibility and adaptation, escort, family training, financial assessment and risk reduction, home delivered meals, homemaker, nutritional assessment and risk reduction, personal care, personal emergency response systems, respite care, occupational, physical and speech therapies, home health and nursing facility services. An individualized plan of care is developed for each enrollee based on his/her specific medical needs.

How Do You Select A Provider?

Who will provide my services? The Department of Elder Affairs administers programs and services for elders across the state of Florida through 11 Area Agencies on Aging, which operate Aging and Disability Resource Centers (ADRCs). These ADRCs function as a single, coordinated system for information and access to services for all Floridians seeking long-term care resources. The ADRCs provide information and assistance about state and federal benefits, as well as available local programs, providers, and services.

Additional Information

The Long-Term Care Community Diversion Program (Diversion) is designed to provide home and community based services to older persons assessed as being frail, functionally impaired and at risk of nursing home placement. An array of Long-Term care services, Medicaid covered medical services and Medicare services are coordinated and delivered through managed care organizations (MCOs) contracted with the Department. Diversion provides these alternatives at a cost less than Medicaid nursing home care. Along with other Medicaid waivers the Diversion program will be phased out by region from August 1, 2013-March 1, 2014 and enrollees will be transitioned into the new Statewide Medicaid Managed Care Long-term Care (LTC) program.

ADRC Training Slideshow
Long-Term Care Program Education

➢ SMMC is part of Florida’s Medicaid State Plan submitted to and approved by CMS. MMA is a waiver that represents Florida’s Medicaid state plan benefits. These benefits are considered entitlements, meaning that almost everyone who meets eligibility criteria may receive MMA services. LTC is a Medicaid waiver program, meaning that changes to the Medicaid state plan were requested by Florida through the additional submission of a Medicaid waiver application(s). Nursing home services, although also an entitlement program, are covered under LTC. Home and community-based LTC services are offered based on available funding.
➢ Although MMA and LTC are both parts of SMMC, they are considered different programs and have completely different eligibility criteria and enrollment processes.

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