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Florida Medicaid’s Covered Services and HCBS Waivers

Assistive Care Services

Medicaid reimburses for assistive care services to provide an integrated set of daily provisions to prevent recipients, with functional or cognitive deficits, institutionalization in a hospital, nursing facility or intermediate care facility.  Medicaid reimburses for assistive care services including:

  • Health Support
  • Assistance with Daily Living Skills
  • Assistance with Instrumental Assistance with Daily Living Skills and
  • Assistance with self-administration of medication
This service is one of the minimum covered services for all Managed Medical Assistance, Long-Term Care, and Comprehensive Long-Term Care plans serving Medicaid enrollees.

Eligibility

Florida Medicaid recipients who require 24-hour care may receive ACS accordance with coverage and limitation requirements.

To receive services, recipients must:

  • Be 18 years of age or older;
  • Have a health assessment completed by a physician or other licensed practitioner of the healing arts acting within the scope of their practice under state law which specifies the medical necessity of Assistive Care Services;
  • The health assessment must specify the need for the minimum of two of the following components: assistance with activities of daily living; assistance with instrumental activities of daily living; assistance with self-administered medications; and health support; and
Reside in licensed Adult Family Care Homes, Assisted Living Facilities, or Residential Treatment Facilities.

Resource Information

Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.

The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.