The Florida Legislature
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Office of Program Policy Analysis and Government Accountability

Florida's Medicaid Home and Community-Based Services Waivers, Report No. 09-32, July 2009
 
Full report in PDF format


This resource provides information for individuals interested in Florida’s Medicaid Home and Community-Based Services (HCBS) waivers. Medicaid HCBS waivers are authorized by Section 2176 of the Omnibus Budget Reconciliation Act of 1981 and incorporated into Title XIX of the Social Security Act as Section 1915(c). States can use this authority to offer a broad array of services intended to prevent or delay institutional placement but that are not otherwise available through Medicaid. Florida implemented its first HCBS waiver, the Aged and Disabled Adult waiver, in 1982. Since that time, Florida has implemented 14 HCBS additional waivers, with the two most recent waivers implemented in 2008. These two waivers, combined with the existing Developmental Disabilities and Family and Supported Living waivers, create a four-tier system for assigning persons with developmental disabilities to a funding level that matches their assessed needs to the expected annual costs to meet those needs. Florida’s HCBS waivers vary on a number of dimensions. Some waivers are limited to persons with specific disease states or physical conditions (such as persons with Alzheimer’s disease); others serve broader groups (such as persons who are elderly and/or have disabilities). Waivers also differ with respect to the number and types of services provided, payment method, and whether available statewide or limited to a few counties. Overall, in Fiscal Year 2007-08, Florida spent approximately $1.34 billion to serve nearly 67,000 beneficiaries in these 15 waivers.


What other OPPAGA-related materials are available?

  • Report No. 13-07 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in March 2013.
  • Report No. 13-07 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in March 2013.
  • Report No. 13-07 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in March 2013.
  • Report No. 13-07 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in March 2013.
  • Report No. 12-03 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in January 2012.
  • Report No. 12-03 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in January 2012.
  • Report No. 12-03 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in January 2012.
  • Report No. 11-03 Profile of Florida’s Medicaid Home and Community-Based Services Waivers,published in January 2011.
  • Report No. 10-10 Profile of Florida's Medicaid Home and Community Based Services Waivers,published in January 2010.

Copies of this report in print or alternate accessible format may be obtained by telephone (850/488-0021), by FAX (850/487-9213), in person, or by mail (OPPAGA Report Production, Claude Pepper Building, Room 312, 111 W. Madison St., Tallahassee, FL 32399-1475).
e-mail address: oppaga@oppaga.fl.gov


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