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Office of Program Policy Analysis and Government Accountability

Profile of Florida's Medicaid Home and Community-Based Services Waivers, Report No. 10-10, January 2010
 
Full report in PDF format


  • 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 of Florida’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. Each profile also identifies the state agency responsible for operating the waiver program; additional information 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 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 not otherwise available through Medicaid that are intended to 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 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 waiver services are available statewide or limited to a few counties. 2/ In Fiscal Year 2009-10 the legislature appropriated $1.45 billion to state agencies to serve beneficiaries 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.

What were our earlier findings?

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

Which Government Program Summaries contain related information?

Medicaid Long-Term Care Waivers
Nursing Home Pre-Admission Screening (CARES)
Department of Elder Affairs
Adult Protective Services
Medicaid Health Care Services
Agency for Health Care Administration
Agency for Persons with Disabilities

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. 10-33 The State Could Consider Several Options to Maximize Its Use of Funds for Medicaid Home and Community-Based Services,published in March 2010.
  • Report No. 10-23 The Alzheimer’s Disease Waiver Program Does Not Delay Nursing Home Entry More Effectively Than Other Waivers and Costs the State More Per Participant Than Most Waivers That Serve Similar Persons,published in February 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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