Office of Program Policy Analysis and Government Accountability
Office of Program Policy Analysis and Government Accountability

Profile of Florida's Medicaid Home and Community-Based Services Waivers

Report 10-10, January 2010

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Report Summary

  • OPPAGA produced this profile of Florida's Medicaid Home and Community-Based Services (HCBS)waivers as a resource for interested policy makers and stakeholders. The profile summarizes each ofFlorida's HCBS waivers by providing uniform information about each waiver (eligibility criteria,services provided, persons served, expenditures, etc.) that can help inform funding and policy. Eachprofile also identifies the state agency responsible for operating the waiver program; additionalinformation about the waivers can be obtained from that agency. 1/1/ Agencies with waiver responsibilities include the Agency for Health Care Administration, Agency for Persons with Disabilities, Department of Children and Families, Department of Elder Affairs, and the Department of Health.
  • Medicaid HCBS waivers are authorized by Section 2176 of the Omnibus Budget Reconciliation Act of1981 and incorporated into Title XIX of the Social Security Act as Section 1915(c). States can use thisauthority to offer a broad array of services not otherwise available through Medicaid that are intendedto prevent or delay institutional placement. Florida's HCBS waivers vary on a number of dimensions.Some waivers are limited to persons with specific disease states or physical conditions (such aspersons with Alzheimer's disease); others serve broader groups (such as persons who are elderlyand/or have disabilities). Waivers also differ with respect to the number and types of servicesprovided, payment method, and whether waiver services are available statewide or limited to a fewcounties. 2/ In Fiscal Year 2009-10 the legislature appropriated $1.45 billion to state agencies to servebeneficiaries in these 15 waivers. 2/ For example, 11 waivers can serve individuals in all 67 counties while the other 4 waivers serve beneficiaries in as few as two counties.

Related Reports
  1. No Title
    Report 09-32
  2. Profile of Florida's Medicaid Home and Community-Based Services Waivers
    Report 13-07 March 2013
  3. Profile of Florida's Medicaid Home and Community-Based Services Waivers
    Report 12-03 January 2012
  4. Profile of Florida's Medicaid Home and Community-Based Services Waivers
    Report 11-03 January 2011
Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.
Copies of this report in print or alternate accessible format may be obtained by email OPPAGA@oppaga.fl.gov, telephone (850) 488-0021, or mail 111 W. Madison St., Room 312 Tallahassee, FL 32399-1475.
Home and Community-Based Services, HCBS, waiver programs, Medicaid waivers, developmental disabilities, elder and disabled services, frail elders, Alzheimer's disease, channeling for frail elders, assisted living for the elderly, nursing home diversion, adult cystic fibrosis, familial dysautonomia, project AIDS care, PAC, traumatic brain and spinal cord injury, model waiver, aged and disabled adult services