Medicaid HCBS Waiver in Tallahassee, Florida

What is Medicaid HCBS Waiver?

Home and Community-Based Services (HCBS) waivers allow Medicaid to pay for home care, personal assistance, and support services instead of nursing home care. These waivers enable elderly and disabled individuals to remain in their homes and communities while receiving the care they need. Each state administers its own HCBS waiver programs with different names and eligibility requirements, but all share the common goal of supporting aging in place.

In Florida, this program is known as Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC). Florida's SMMC-LTC program provides long-term care services through managed care plans. Services include nursing home care, assisted living, and home and community-based services. Enrollment is through Medicaid managed care plans.

Eligibility Requirements in Florida

How to Apply in Tallahassee, Florida

1. Contact Florida Agency for Health Care Administration at (850) 412-3600 to begin the application process
2. Request a functional eligibility assessment
3. Gather financial documentation (tax returns, bank statements, Social Security award letter)
4. Complete the Medicaid application through your state's portal or in person
5. If approved, work with a care coordinator to develop your care plan
6. Online application: You can start the application process online at Florida Agency for Health Care Administration's website.

Your local Area Agency on Aging - the Big Bend Area Agency on Aging at (850) 488-0055 - can also help you navigate the application process at no charge.

Frequently Asked Questions About Medicaid HCBS Waiver in Tallahassee

• What is the income limit for Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) in Florida?
  In Florida, the income limit for Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) is typically $2,742/month for a single person and $5,484/month for a married couple. Some income may be disregarded in calculations.
• How long is the waitlist for Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) in Florida?
  Waitlist times vary significantly. Contact Florida Agency for Health Care Administration at (850) 412-3600 for current waitlist status. Some states have open enrollment while others have waitlists of several months to years.
• What services does Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC) cover in Florida?
  Covered services typically include personal care assistance, homemaker services, adult day health services, respite care, home health aide services, and skilled nursing visits. Specific services vary by program.
• Can I keep my Medicare coverage while on Florida Statewide Medicaid Managed Care Long-Term Care (SMMC-LTC)?
  Yes. Medicaid HCBS waivers supplement but do not replace Medicare coverage. You may qualify for both programs simultaneously if you meet eligibility requirements for each.
• How are Medicaid assets calculated in Florida?
  In Florida, asset limits for Medicaid are typically $2,000 for an individual. Your primary home, one vehicle, personal belongings, and certain other assets may be exempt from this calculation.

Other Subsidies Available in Tallahassee

Medicaid Waiver in Other Florida Cities