Assisted Living Medicaid Waiver

Summary

The Assisted Living Medicaid Waiver Program provides community-based services to frail functionally impaired seniors and disabled clients age 60 and over at risk of nursing home placement. Clients, who must meet financial and physical eligibility requirements, live in an assisted living facility and receive services suitable to their needs. A case manager is assigned to each client. Examples of services that may be provided by the Assisted Living Facility under the Waiver are Adult Resident Care, Behavior Management, Case Management, Medication Management, Medical Supplies, and Nursing Services.

History

Title XIX of the Social Security Act authorizes federal funds to be provided for medical assistance programs. The State of Florida has been granted a waiver of certain Title XIX requirements in order to provide special Medicaid Services to specified groups of people. The Assisted Living Medicaid Waiver provides personal care and supervision services to allow persons who would otherwise need nursing home care to remain in an Extended Congregate Care (ECC) or Limited Nursing Services (LNS) Assisted Living Facility.

The Assisted Living Waiver is administered and managed by the Department of Elder Affairs, Area Agencies on Aging, Department of Children & Families, Agency for Health Care Administration and local services providers. All service providers and service recipients must meet certain eligibility criteria in order to participate in the Assisted Living Medicaid Waiver.