Florida’s Medicaid program provides qualified seniors with comprehensive health care coverage. Services are administered by Florida’s Managed Medical Assistance program and include visits to a primary care physician or specialist for preventative and acute care, inpatient hospital stays, long-term care, such as nursing home, home health services and adult day health care, and prescription medications. An applicant’s medical and functional needs determine what coverage is offered.
Low-income state residents aged 65 and over may qualify for Florida’s SSI-related Medicaid program. Monthly income limits are set at $891 for singles and $1,208 for married couples with both spouses applying. Individuals who are eligible for or already receive SSI automatically qualify for Medicaid. These individuals should call the Social Security Administration‘s Miami office at (800) 772-1213 to apply for benefits.
For additional information on Medicaid, seniors should visit ACCESS Florida online or call (866) 762-2237.
Statewide Medicaid Managed Care Long-Term Care Program
Medicaid-eligible seniors in need of long-term care may benefit from Florida’s SMMC LTC program. Qualified applicants are assigned a case manager and professionally assessed, and they may receive benefits, including, but not limited to, assisted living services, medical equipment, skilled nursing and personal emergency alert systems. The program aims to enable seniors to receive the care they need while maintaining as much independence as possible.
Medicaid-eligible Florida residents aged 65 and older or disabled persons 64 and under may apply for SMMC LTC. The program is designed specifically for individuals requiring a nursing facility level of care and has strict income requirements. Combined monthly income and assets must not exceed $2,313 for single applicants or $4,626 for couples.
To begin the process, seniors can schedule an initial assessment via the Elder Helpline at (800) 262-2243 and request a screening for home- and community-based services. Basic information, including the applicant’s monthly income and required care needs are required during the application process.