Medicaid is a national health insurance program that is jointly funded by both the federal and state governments. It’s designed to provide low-income Americans of all ages with access to basic health care. In Florida, Medicaid is administered by the Agency for Health Care Administration, a branch of the Florida Department of Children and Families.
To qualify for no-cost Medicaid in Florida, seniors aged 65 and older must earn no more than $2,313 (individual) or $4,626 (couple) a month. Income from all sources must be declared, including wages, pensions, alimony and investment interest.
Medicaid applicants are also limited to owning no more than $2,000 (individual) or $3,000 (couple) in countable assets. Countable assets include cash and bank account balances, recreational real estate, stocks, bonds and any other investments. One vehicle, personal belongings, household furnishings and the applicants’ principle residence are excluded assets as long as the home is valued at $585,000 or less.
Florida seniors aged 65 and older who qualify for Medicaid and need the level of care normally provided in a nursing home, may be eligible for the Statewide Medicaid Managed Care, Long-Term Care (SMMC LTC) program. This program helps to reduce rates of nursing home placement in Florida by providing additional services and supports in an assisted living setting to seniors.
In accordance with federal law, seniors who apply for nursing home care will be screened by the Comprehensive Assessment and Review for Long-Term Care Services (CARES) program to evaluate their long-term care needs. This assessment is then reviewed by a designated registered nurse or physician who makes recommendations on the least-restrictive placement option and medically-necessary support services for each senior.
If approved for the SMMC LTC program, seniors living in assisted living may be assigned one or more of the following services:
- Attendant or personal care
- Homemaker
- Intermittent and skilled nursing
- Medication administration and management
- Physical therapy
- Occupational therapy
- Speech therapy
- Transportation
- Medical supplies and equipment
To learn more about Florida Medicaid and the SMMC LTC program, contact the
Citrus County Elder Helpline at (800) 262-2243.