Medicaid, the nationwide health coverage program jointly funded by the federal and state governments, provides basic health care for approximately 90% of seniors and people with disabilities in Florida. Medicaid services for low-income seniors include preventive health screening, primary and emergency care, as well as long-term care in nursing homes or assisted living facilities.
Medicaid eligibility is based on income and countable assets. For seniors age 65 and older seeking Medicaid coverage, the maximum allowable monthly income is $2,313 per person (or $4,626 per couple), which is 300% of the current SSI federal benefit rate.
Medicaid applicants are also subject to asset limits of $2,000 per individual and $3,000 per couple. Countable assets include cash, bank account balances, stocks, bonds and most real estate. An applicant’s principal residence is exempt if valued at $585,000 or less, along with clothing, jewelry, household furnishings and one vehicle.
Statewide Managed Care, Long-Term Care Waiver
Federal law mandates that Florida seniors who qualify for Medicaid and need the type of care normally offered in a nursing home setting must participate in the Comprehensive Assessment and Review for Long-Term Care Services screening program.
Seniors who complete CARES screening may be enrolled in the Statewide Managed Care Long-Term Care Program, a Medicaid wavier program designed to prevent nursing home placement by funding enhanced senior care services within an assisted living setting.
Services provided through the SMMC LTC are based on recommendations made by the CARES assessor and contingent upon the medical needs of each senior. SMMC LTC services may include medication administration and management, personal or attendant care, medical supplies and equipment, and/or speech, physical and occupational therapy.
To apply for Florida Medicaid, request a CARES assessment or learn more about the SMMC LTC program, contact the Pasco County Elder Helpline at (800) 861-8111 or ACCESS Florida at (866) 762-2237.