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Model Waiver

Purpose

The purpose of the Medicaid Model Waiver is to provide services to eligible children 20 years of age or younger who are medically complex/medically fragile or diagnosed with degenerative spinocerebellar disease.  The Model Waiver is designed to delay or prevent institutionalization and allow waiver recipients to maintain stable health while living at home in their community.

Eligibility Criteria

To qualify for the Model Waiver the applicant must:
  • 20 years of age or younger,
  • Determined disabled using criteria established by the Social Security Administration (SSA),
  • Be at risk for hospitalization as determined by the Children’s Multidisciplinary Assessment Team (CMAT),
  • Diagnosed as having degenerative spinocerebellar disease, or deemed medically fragile and have resided in a skilled nursing facility for at least 60 consecutive days prior to enrollment.

Covered Services

Waiver services include:
  • Assistive Technology and service evaluation
  • Case Management provided by the Department of Health, Children’s Medical Services (CMS)
  • Environmental Accessibility Adaptations
  • Nursing Home Transition
  • Respite Care

How to Apply

To be assessed for Model Waiver eligibility, contact the CMAT program at (850)245-4200. To apply for Medicaid, contact the Department of Children and Families at http://www.myflorida.com/accessflorida.

Approved Model Waiver Document

Model Waiver [3.85MB PDF]

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