About 16% of Florida children, adults with disabilities and the elderly are covered under Medicaid, a government health program for needy Americans and qualified immigrants.
Medicaid benefits include primary care from a family doctor, hospital services, home health care and nursing facility care. Each state operates its own Medicaid program and optional benefits may be offered through state-specific Medicaid waivers.
To qualify for long-term Medicaid services, Florida residents must have a monthly income of $2,313 or less, and own fewer than $2,000 in countable assets ($3,000 per couple). Some assets are exempt, such as a personal vehicle, an irrevocable burial contract and a home, condominium or mobile home assessed at $585,000 or less.
Statewide Medicaid Managed Care Long Term Care Program
Florida’s Statewide Medicaid Managed Care Long Term Care program provides eligible seniors with enhanced medical and support services to delay or prevent nursing home placement. To qualify, seniors must meet Medicaid’s income and asset limits and be assessed as needing the level of care normally offered in a nursing home facility.
SMMC LTC services are delivered through a managed care plan under contract with Florida’s Agency for Health Care Administration. These services are provided in an assisted living setting and assigned based on medical need, and must include:
- Adult day health care
- Attendant and personal care
- Case management
- Homemaker services
- Hospice care
- Skilled nursing
- Medical supplies
- Mobility equipment
- A medical alert system
- Rehabilitation therapies
Under federal law, all seniors who request long-term Medicaid services must be assessed by a registered nurse or other approved assessor. If the senior is deemed to be a good candidate for the SMMC LTC program, a referral is made by a physician.
For more information and to request a SMMC LTC assessment, contact the Area Agency on Aging of Pasco-Pinellas
at (800) 963-5337.