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Florida HCBS Eligibility and Application Instructions

UPDATE: Announcing First Approvals for HCBS Enhanced Funding for One-Time Provider Stipend and One-Time Provider Retention AND Supplemental Application Period for HCBS Providers utilizing 1099 Contracted Workers.

First Approvals for HCBS Provider Funding

The Agency for Health Care Administration (Agency) has begun sending letters to providers within the iBudget waiver program who applied for HCBS Provider Funding for:

  • One-time provider stipend payments to support HCBS Providers; and
  • One-time payments to aid eligible HCBS providers in recruiting and retaining qualified staff.

Eligible providers had 60 days to complete the application for funding, beginning on December 17, 2021. The deadline to apply was February 14, 2022.

Letters are being emailed to the email address listed by the provider on the application submitted and mailed to the address of record associated with the provider’s Medicaid Provider ID.

Letters will advise providers if their request to contract with the Agency regarding the Florida HCBS Enhanced Funding Opportunity has been accepted and provide instructions on next steps.

Supplemental Application Period for HCBS Funding to Support Programs for 1099 Workers

The Agency announces a supplemental application period for a one-time retention payment for HCBS Providers utilizing 1099 Contracted Workers to provide services through the Agency’s Home and Community-Based Services (HCBS) programs. Eligible providers will have 30 days to complete the application for funding. Providers must apply by May 20, 2022.

More information on the application process and a list of eligible provider types can be found here. The application process for eligible providers is to ensure appropriate measures are put in place to prevent fraud, waste, and abuse.

Additional Information: Florida’s HCBS programs serve the state’s aging population, as well as individuals with physical, intellectual, and developmental disabilities. For more information about Florida’s strategy for administering the increased FMAP funding for HCBS providers and to apply or obtain updates on upcoming application cycles, please visit: https://ahca.myflorida.com/hcbsapplication

Eligibility Requirements

  1. The applicant must be in an “Active” status as a Florida Medicaid provider.
  2. The applicant must be in a good standing with Florida Medicaid.

One-Time Provider Retention Payment to Support Programs for 1099 Workers

This funding is offered to eligible providers who were enrolled as provider types (PT) 14, 65, 67 and 91. This includes:

  • Providers who delivered Assistive Care Services to enrollees in Florida’s HCBS waiver programs. This could have included providers such as assisted living facilities and adult family care homes;
  • Providers who delivered Home Health Services to enrollees in Florida’s HCBS waiver programs. This could have included providers enrolled as home health agencies (PT 65) or providers of home health services enrolled as home and community-based service providers (PT 67);
  • Providers who delivered Case Management services to enrollees in Florida’s HCBS waiver programs and who were enrolled as PT 91; and
  • Providers who delivered Home and Community-Based Services to enrollees in Florida’s HCBS waiver programs and who were enrolled as PT 67.
NOTE: Providers who receive a one-time provider retention payment to support programs for 1099 workers must agree to cooperate with monitoring by state and local officials to ensure ongoing compliance with relevant requirements. Failure to abide by any or all requirements may result in the recoupment of funding and/or other administrative actions as deemed necessary.

One-Time Provider Stipend and/or One-Time Provider Retention Payments

This funding was offered to eligible providers who were enrolled as provider types (PT) 14, 65, 67 and 91. This included:

  • Providers who delivered Assistive Care Services to enrollees in Florida’s HCBS waiver programs. This could have included providers such as assisted living facilities and adult family care homes;
  • Providers who delivered Home Health Services to enrollees in Florida’s HCBS waiver programs.  This could have included providers enrolled as home health agencies (PT 65) or providers of home health services enrolled as home and community-based service providers (PT 67);
  • Providers who delivered Case Management services to enrollees in Florida’s HCBS waiver programs and who were enrolled as PT 91;
  • Providers who delivered Home and Community-Based Services to enrollees in Florida’s HCBS waiver programs and who were enrolled as PT 67.

NOTE: Providers who received a one-time provider stipend and/or one-time provider retention payment must agree to cooperate with monitoring by state and local officials to ensure ongoing compliance with relevant requirements. Failure to abide by any or all requirements may result in the recoupment of funding and/or other administrative actions as deemed necessary.

Delayed Egress Payments

In order to qualify for reimbursement for the purchase and installation of delayed egress systems, applicants must satisfy all of the following requirements:
  1. The applicant must operate an existing residential facility licensed pursuant to s. 393.067, F.S. or an Adult Day Training (ADT) program through Florida’s iBudget waiver program.
  2. Delayed egress systems must meet all of the following conditions:
    1. Egress is prevented for a maximum of 30 seconds.
    2. Approval of the system by the local authority having jurisdiction over fire safety or the State Fire Marshall, and
    3. Locks are automatically disengaged in the event of a fire, power outage, or activation of the fire alarm.
  3. Facility residents and ADT participants who will be subject to delayed egress requirements must have delayed egress included within their person-centered service plans as an identified safety intervention.
  4. Facility residents and ADT participants who do not require delayed egress and/or do not have such an intervention identified as a need within their person-centered services plans must be provided a keypad code, key fob, or other means by which they can exit the building independently and at any time without delay. Facility and ADT providers are responsible for training such residents on the process for exiting the buildings with delayed egress systems.
  5. Reimbursement for the purchase and installation of a single delayed egress system is limited to the maximum amount of $10,000.
  6. Reimbursement is not available for delayed egress systems purchased or installed prior to January 1, 2022.
NOTE: Facility and ADT providers who receive reimbursement for delayed egress systems must agree to cooperate with monitoring by state and local officials to ensure ongoing compliance with relevant requirements. Failure to abide by any or all of these requirements may result in the recoupment of funding for delayed egress systems and/or other administrative actions as deemed necessary.

Complete and Upload an Application

Please select the appropriate funding application below:

IMPORTANT NOTE: To be considered for the reimbursement of costs associated with the purchase and installation of the delayed egress system, providers must have already submitted a Delayed Egress Purchase and Install Payments Application, have had the application approved, the system installed, and must have completed inspection.

Upload your HCBS Funding Application online.

NOTE: If you qualify for both activities, you will need to complete and upload a separate application for each program choice.