This program provides community-based services to aged and disabled clients who are functionally impaired and at risk of nursing home placement. The program assists clients to remain in their own homes. Clients must meet financial and physical eligibility requirements. A case manager is assigned to each client. Examples of services provided through the HCBS waiver are Adult Day Health Care, Case Management, Chore, Counseling, Home Delivered Meals, Homemaker, and Personal Care.

History

The Social Security Act under Title XIX allows for federal funds to be provided to States for medical assistance programs. A waiver has been granted to the State of Florida where certain Title XIX requirements have been waived in order to provide special Medicaid services to a group of people who meet specific financial and technical eligibility. The purpose of the Medicaid Waiver Program is to provide services to allow persons who would otherwise need nursing home care to remain in the community.

The Waiver is administered and managed by the Department of Elder Affairs (DOEA) and locally by the Area Agency on Aging. DOEA is responsible for development of policies related to the provision of HCBS service for the elderly. The Department of Children and Families (DCF) determines financial eligibility for the Institutional Care Program (ICP) level for elderly and disabled adults. Community Care for the Elderly (CCE) and Community Care for Disabled Adults (CCDA) lead agencies employ case managers to assess applicants for entry to the Waiver Program.