Medicaid Waiver | Home & Community Based Services | SMMC-LTC

Statewide Medicaid Managed Care Long Term Care (SMMC-LTC) / Florida Medicaid Waiver / Home & Community Based Medicaid are all different names for the same Florida Medicaid program.

This long-term care Medicaid program isfor those who only require Assisted Living Facility (ALF) level of care OR are able to reside at home and would benefit from some home-health care.

There is a wait-list for this program. The Medicaid Waiver wait-list gives priority to those who need services the most. But the wait-list can be quite long. Part of our service, if hired to do so, is coaching you on ethical ways to obtain a higher priority score to minimize time on the Medicaid waiver wait-list.

Once approved, the Medicaid recipient keeps 100% of their income.

If in an ALF: Medicaid contributes approximately $1,200 – $1,300 (could be less, depending on amount of care needed) toward their ALF bill.

If at home: Medicaid will pay for approximately 20-25 hours of home health care (directly to a Medicaid-approved agency) depending on amount of care that is needed.

Cash and Health Insurance Benefits with Medicaid Long-Term Care Programs

Some other tangential benefits that are included in these Medicaid programs

(primarily benefiting those who apply for Medicaid Waiver):

1.      More cash available to the Medicaid recipient.Medicaid will pay the Medicare Part B premium cost (currently automatically deducted from social security income). In 2019, that will result in the Medicaid beneficiary receiving an extra $135.50 per month in their bank account.

2.      More cash available to the Medicaid recipient because Medicaid will pay for most co-pays and deductibles.

3.      Potentially more cash available to the Medicaid recipient when they choose their Medicaid-Managed Plan (Florida Medicaid has contracted with marquee names such as AETNA, United, Sunshine Health, Humana, etc…). Once enrolled in one of these Medicaid plans, the Medicaid recipient has the ability to discontinue paying for their Medicare Advantage or Medicare Supplement (they also have the ability to keep their current Medicare plan if they so choose).

Call Home Health Solutions Group at 786-991-2300, so one of our experts can help you understand the program and guide you through it.

http://www.hhsgroup.net  http://www.homeeldercareflorida.com

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