Medicaid is a national health insurance program designed to provide limited health care coverage to Americans who have both a low income and few countable assets. Medicaid is jointly funded by the federal and state governments and administered by each state. In Florida, the Agency for Health Care Administration through the Florida Department of Children and Families administers Medicaid.
Seniors aged 65 and older who are permanent residents of Florida may be eligible for Florida Medicaid coverage if they have a monthly income under $2,313 as a single applicant or $4,626 when applying with a spouse. Income from all sources, including wages, alimony, investment interest and pensions, must be declared.
Medicaid applicants are also subject to asset limits, which are currently set at $2,000 for individuals and $3,000 for couples. Under Medicaid rules, countable assets include all cash and bank account balances, investments and recreational properties. Clothing, furniture, one vehicle and a principal residence worth $585,000 or less are exempt.
Seniors who qualify for Florida Medicaid coverage and require the level of senior care normally found in a nursing home due to disability or age-related deterioration may be eligible for personal care services in an assisted living setting under the Florida Statewide Medicaid Managed Care, Long-Term Care Program.
The SMMC LTC is designed to reduce the rates of nursing home placement of seniors in Florida by providing additional care services based on medical necessity. These services are assigned according to each senior’s needs as determined by the Comprehensive Assessment and Review for Long-Term Care Services and may include:
- Attendant care and adult companion
- Homemaker
- Medication supplies and equipment
- Medication management and administration
- Occupational, physical, speech and respiratory therapy
- Transportation
- Skilled and intermittent nursing
- Personal care
For more information on Florida Medicaid and the SMMC LTC program, contact the Florida Agency for Health Care Administration at (877) 711-3662 or the Florida Elder Helpline at (800) 963-5337.