IMPORTANT NOTICES:

Provider Referral Agreement(pdf-126KB)

Notice of Proposed Settlement(pdf-69KB)

Settlement Agreement(pdf-99KB)

Medicaid Waiver Programs

What is a Waiver?

Home and community-based waivers (1915(c) are tools used by states to obtain federal Medicaid matching funds to provide long-term care to patients in settings other than institutions.

Waivers must be approved by Centers for Medicare/Medicaid  Services (CMS)  and are good for three years, after which they may be renewed every five years.

General Information

• Home- and community-based care is increasingly being viewed as a preferable alternative to long-term institutional care.
• Benefits the individual who may remain among friends and family;
• Benefits the state because services may be provided for less than the cost of institutional care.

Goals

• To re-integrate individuals into their communities;
• To ensure that quality services are delivered in the most effective and cost efficient manner through a coordinated system; and
• To utilize program funds to leverage federal dollars and grants to support the long-term goals of the program.

Waiver Intent

• To provide Medicaid-eligible clients who meet nursing home level of care with long-term community-based services and supports necessary to live safely and independently in the community. 
• The current 1915(c) Home and Community-Based Care Waiver became effective July, 2002 and  was renewed in July 2007 for 5 additional years.
• The program provides greater flexibility in serving beneficiaries since state plan Medicaid limits services to disabled adults. 

Eligibility Requirements

• Florida residents age 18 and over;
• Must be referred to the BSCIP Central Registry;
• Meets state definition of traumatic brain injury, spinal cord injury or both;
• Must be medically stable;
• Must meet at least Level II nursing home level of care; and
• Must be financially eligible for Florida Medicaid.

Core Services

• Adaptive Health and Wellness Services
• Attendant Care Services
• Assistive Technology and Adaptive Equipment
• Behavioral Programming
• Community Support Coordination
• Companion Services
• Life Skills Training
• Environmental Accessibility Adaptation
• Personal Adjustment Counseling
• Rehab Engineering Evaluations
• Personal Care Assistance
• Consumable Medical Supplies

Medicaid Waiver Specialist

Earlier this year, the Medicaid Waiver Program was restructured to allow for focused and dedicated attention to those clients placed on the Medicaid Waiver. Strategically located throughout the state is a team of eight Medicaid Waiver Specialists. These specialists come to the Medicaid Waiver program with the experience and sensitivity that helps to facilitate what Medicaid has charged us to do:

• To ensure the highest level of accountability and care to our most vulnerable of clients, individuals with traumatic brain and/or spinal cord injuries

• To monitor and train providers and provide ongoing technical assistance

• To oversee the care and services provided to our recipients

• To enroll new recipients and serve as supervisor for the community support coordinators in their respective areas

This is an exciting and positive opportunity for clients and providers alike as we move forward to compliment our resources and our steadfast commitment to make the QUALITY of care the very best it can be!

This is an Area Map(pdf -17KB) that depicts those Areas of Responsibility for our Medicaid Waiver Specialists. We urge you to contact the Medicaid Waiver Specialist in your area for any questions you may have regarding enrollment or use the toll-free number provided below for more information.

Provider Information

Provider Handbook and IOPs

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Program Toll Free Number
(866) 875-5660
Program Fax Number
(850) 921-0499

BSCIP Staff | BSCIP Home | DOH Contacts

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