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Florida Medicaid’s Covered Services and Waivers

Florida Medicaid’s Covered Services and Waivers

Long-Term Care

The purpose of the Medicaid Long-term Care Waiver is to provide services to eligible individuals age 18 or older who need long-term services and supports, including individuals over the age of 18 with a diagnosis of cystic fibrosis, AIDS, or a traumatic brain or spinal cord injury.  The Long-term Care Waiver is designed to delay or prevent institutionalization and allow waiver recipients to maintain stable health while receiving services at home and in the community. Individuals in the program may also be served in a nursing facility setting.

Medicaid reimburses for over two dozen home and community-based services and nursing facility services through this program.

The Long-Term Care Waiver is a capitated, managed care program. It is offered by Statewide Medicaid Managed Care Long-term Care plans and Managed Medical Assistance Comprehensive plans.

Eligibility

Individuals enrolled in the Long-term Care program must be:

  • 65 years of age or older AND need nursing facility level of care; or
  • 18 years of age or older AND eligible for Medicaid by reason of disability AND need nursing facility level of care

Or:

  • 18 years of age or older with a diagnosis of cystic fibrosis AND have a hospital level of care.

Resource Information

More information on the Long-Term Care Waiver is available on the Federal Authorities webpage.

Learn more about Accessing Long-Term Care Services.