Federal Waivers

Waiver Program Changes (PAC, TBI/SCI, ACF)

Florida’s Section 1115 Research and Demonstration Waivers

1115 Managed Medical Assistance Waiver

The Managed Medical Assistance program provides primary and acute medical care, and behavioral health and dental services for the majority of Medicaid recipients. Recipients receive their services through competitively selected health plans.

1115 Family Planning Waiver

The family planning waiver provides family planning and family planning-related services to all women of child bearing ages (14-55) losing Medicaid coverage, who have a family income at or below 185 percent of the federal poverty level and who are not otherwise eligible for Medicaid,  Children’s Health Insurance Program, or other health insurance coverage providing family planning services. Coverage is available for up to two years after loss of Medicaid eligibility.

Florida’s Section 1915(b) Managed Care Waivers

1915(b)(4) - Non–emergency Transportation Waiver (4/1/2021 – 3/31/2023)

This waiver provides non-emergency transportation services to eligible Medicaid recipients.

Florida’s Concurrent Section 1915(b) and 1915(c) Waivers

1915(b)(c) - Long-Term Care Waiver

The Long-Term Care program provides long-term care services and supports to eligible disabled individuals age 18-64 and elderly individuals age 65 or older, including individuals over the age of 18 with a diagnosis of cystic fibrosis, AIDS, or a traumatic brain or spinal cord injury. Program recipients receive their services through competitively selected managed care organizations.

Home and Community-Based Services Waivers

Home and Community-Based Services Waivers programs are the federally approved Medicaid programs authorized by Title XIX of the Social Security Act, Section 1915(c) that provide services in the home or other community settings for person who would otherwise require institutional care in a hospital, nursing facility, or intermediate care facility.

1915(c) Florida Familial Dysautonomia Waiver (FD)
1915(c) Florida DD Individual Budgeting Waiver (iBudget)
1915(c) Florida Model Waiver

Home and Community-Based Settings Rule

Florida Medicaid Access Monitoring Review Plan (AMRP) Report and Public Input

State Plan Programs

Program of All-Inclusive Care for the Elderly (PACE)

The Program of All-Inclusive Care for the Elderly (PACE) program provides a comprehensive range of medical and home and community-based services for individuals age 55 and older who would otherwise qualify for placement in a nursing home.

Consumer Directed Care Plus (CDC+) Program

The Consumer-Directed Care Plus (CDC+) program offers a self-directed service delivery model for personal assistance services as a State plan option. The 1915(j) Medicaid State Plan Amendment authorized program enables beneficiaries to pay legally liable relatives directly for personal assistance services identified in the service plan and budget.