Understanding Florida's Medicaid Program and offerings can be an overwhelming feat. The program is designed to provide Continuity of Care to an approved Recipient of the Long Term Care Program.  The State of Florida incorporates internal Managed Care Agencies to serve as Case Managers to assess and re-asses care and level of care needs of the individual.  Each Managed Care Agency must provide a minimum of the following services:

Adult Companion Care -This service helps you fix meals, do laundry and light housekeeping.
Adult Day Health Care - Supervision, social programs and activities provided at an adult day care center during the day. If you are there during mealtimes, you can eat there.
Assistive Care - These are 24-hour services if you live in an adult family care home.
Assisted Living - These are services that are usually provided in an assisted living facility (ALF). Services can include housekeeping; help with bathing, dressing and eating; medication assistance; and social programs.
Attendant Nursing Care - Nursing services and medical assistance provided in your home to help you manage or recover from a medical condition, illness or injury.
Behavioral Management - Services for mental health or substance use disorder needs.
Caregiver Training - Training and counseling for the people who help take care you.
Care Coordination/ Case Management - Services that help you get the services and support you need to live safely and independently. This includes having a case manager and making a plan of care that lists all the services you need and receive.
Home Accessibility Adaptation - This service makes changes to your home to help you live and move in your home safely and more easily. It can include changes like installing grab bars in your bathroom or a special toilet seat. It does not include major changes like new carpeting, roof repairs, plumbing systems, etc.
Home Delivered Meals - This service delivers healthy meals to your home.
Homemaker - This service helps you with general household activities, like meal preparation and routine home chores.
Hospice - Medical care, treatment and emotional support services for people with terminal illnesses or who are at the end of their lives to help keep them comfortable and pain free. Support services are also available for family members or caregivers.
Intermittent and Skilled Nursing - Extra nursing help if you do not need nursing supervision all the time or need it at a regular time.
Medical Equipment and Supplies - Medical equipment is used to help manage and treat a condition, illness, or injury. Medical equipment is used over and over again, and includes things like wheelchairs, braces, walkers and other items. Medical supplies are used to treat and manage conditions, illnesses or injury. Medical supplies include things that are used and then thrown away, like bandages, gloves and other items.

Medication Administration -Help taking medications if you can’t take medication by yourself.
Nutritional Assessment / Risk Reduction - Education and support for you and your family or caregiver about your diet and the foods you need to eat to stay healthy.
Nursing Facility - Nursing facility services include medical supervision, 24-hour nursing care, help with day-to-day activities, physical therapy, occupational therapy and speech language pathology.
Occupational Therapy - Occupational therapy includes treatments that help you do things in your daily life, like writing, feeding yourself and using items around the house.
Personal Care - These are in-home services to help you with:

• Bathing
• Dressing
• Eating
• Personal Hygiene

Personal Emergency Response System (PERS) - An electronic device that you can wear or keep near you that lets you call for emergency help anytime.
Respite Care - This service lets your caregivers take a short break. You can use this service in your home, an Assisted Living Facility or a Nursing Facility.
Physical Therapy - Physical therapy includes exercises, stretching and other treatments to help your body get stronger and feel better after an injury, illness, or because of a medical condition.
Respiratory Therapy - Respiratory therapy includes treatments that help you breathe better.
Speech Therapy - Speech therapy includes tests and treatments that help you talk or swallow.
Transportation to LTC Services - Transportation to and from all of your LTC program services. This could be on the bus, a van that can transport disabled people, a taxi, or other kinds of vehicles.

The Long Term Care program is designed for:

   - Individuals ages 65 and older and eligible for Medicaid; or

   - Individuals ages 18 and older and eligible for Medicaid due to a disability; and

   - Are determined to be at a Nursing Home Level of Care.

Eligibility is determined by two State agencies: Medically by Department of Elder Affairs (DOEA) and Financially by Department of Children and Families (DCF).

Florida Long Term Care Medicaid Program pays different and provides different options based on each Level of Care as explained below.