Three of Florida's Medicaid home and community-based services waiver programs are widely available to frail elders needing services - the Aged and Disabled Adult, Assisted Living for the Elderly, and Nursing Home Diversion waiver programs. These programs provide alternatives to more restrictive and costly nursing home placement by helping frail elders stay in their homes or other community settings for as long as possible. The Nursing Home Diversion waiver program has the highest effectiveness in delaying nursing home entry among the three waiver programs, but also has the highest costs for serving elders with similar characteristics. The Legislature could maximize its use of funds by expanding access to these waiver programs as funding is available.