Florida's Medicaid Long-Term Care
Home and Community Based Services (HCBS)
Navigating the Program
Home and Community Based Services (HCBS)
Navigating the Program
The video is produced by Florida Health Justice Project,
with support from the Alliance for Aging, Inc. and the RRF Foundation for Aging.
with support from the Alliance for Aging, Inc. and the RRF Foundation for Aging.
Note: Move the video playhead along the timeline to jump to specific points in the video. Topic timestamps are indicated below in the Portal Resource Materials.
This video is a summary of the Advocate’s Guide to the Florida Long-Term Care Medicaid Waiver, which is published on the Florida Health Justice Project website.
Portal Resource Materials
00 min 00 sec | Medicaid HCBS
An overview for the purpose of the video, an outline of the general topics that will be covered, the background information for the Medicaid HCBS program and an explanation of the corresponding resource materials in the toolkit. BACK TO VIDEO
04 min 00 sec | Apply
Details about the initial call to learn about the Program, the types of screening and assessment questions asked during the call and the next steps that occur after the call.
08 min 46 sec | Waitlist - Eligibility
Explanation of the Waitlist Release procedures and protocols as well as the Clinical and Financial Eligibility requirements for the Program.
12 min 02 sec | Medicaid Managed Care
Tips for picking a plan, the available options for Miami-Dade County and steps for changing your Managed Care Organization. BACK TO VIDEO
13 min 15 sec | Program Services
Description of the types of Program services, the specifics entailed in the Plan of Care and a list of ensured rights.
17 min 36 sec | Addressing Problems
Steps for addressing complaints with the Program and an explanation of the grievance and appeal process. BACK TO VIDEO
20 min 00 sec | Resources For Help
Entities to contact to help assist with resolving problems experienced with the Program. BACK TO VIDEO
20 min 49 sec | Share Your Story
The importance of sharing your personal experience of navigating the system and your thoughts on the services provided by the Program. BACK TO VIDEO
Portal Resource Materials
00 min 00 sec | Medicaid HCBS
An overview for the purpose of the video, an outline of the general topics that will be covered, the background information for the Medicaid HCBS program and an explanation of the corresponding resource materials in the toolkit. BACK TO VIDEO
04 min 00 sec | Apply
Details about the initial call to learn about the Program, the types of screening and assessment questions asked during the call and the next steps that occur after the call.
- Alzheimer’s Disease Initiative (ADI)
- Community Care for the Elderly (CCE) Program
- Home Care for the Elderly (HCE) Program
- The Road to Medicare-Covered Home Health Care
- Priority Score and Rank
- Post-Screening Notices: Sample Letters (prior to May 2021 and new rule development)
- Post-Screening Notices: Current template as of May 2021
- Post Screening Notice: Background and Status
08 min 46 sec | Waitlist - Eligibility
Explanation of the Waitlist Release procedures and protocols as well as the Clinical and Financial Eligibility requirements for the Program.
- ADRC Waitlist Release Letter Templates
- Post Waitlist Release Eligibility Determination: Process and Timeline
12 min 02 sec | Medicaid Managed Care
Tips for picking a plan, the available options for Miami-Dade County and steps for changing your Managed Care Organization. BACK TO VIDEO
13 min 15 sec | Program Services
Description of the types of Program services, the specifics entailed in the Plan of Care and a list of ensured rights.
- Long-Term Care (LTC) Home & Community Based Care Services
- Plan of Care
- Personal-Centered Care Plan Sample Form
- Member Handbook
- Supplemental Assessment
- Protections Against Gaps in Long-Term Care (LTC) Services
- Participant Directed Services
17 min 36 sec | Addressing Problems
Steps for addressing complaints with the Program and an explanation of the grievance and appeal process. BACK TO VIDEO
20 min 00 sec | Resources For Help
Entities to contact to help assist with resolving problems experienced with the Program. BACK TO VIDEO
20 min 49 sec | Share Your Story
The importance of sharing your personal experience of navigating the system and your thoughts on the services provided by the Program. BACK TO VIDEO
