AGENCY FOR HEALTH CARE ADMINISTRATION
Long-term Care (LTC) Waiver Amendment Request
The Agency for Health Care Administration (Agency) is submitting to the Centers for Medicare and Medicaid Services (CMS) a request to amend the Long-term Care (LTC) waiver that operates under the authority of Section 1915 (c) of the Social Security Act. The Agency is providing public notice of the 30-day public comment period as specified in 42 CFR 441.304(f) to solicit meaningful input from recipients, providers and all stakeholders on the amendment request prior to submission to CMS.
Description of Long-term Care (LTC) Waiver and Amendment Request
The Long-term Care waiver offers eligible disabled adults ages 18 to 64 and elderly adults ages 65 or older long-term care services in the community setting as an alternative to nursing facility placement. The program uses a managed care service delivery model to provide home and community-based services to eligible waiver recipients. Competitively selected managed care plans offer long-term care services designed to meet the identified care needs of waiver recipients in their community. Recipients’ case managers develop care plans based upon individual need assessments with input from the recipient and others involved in the recipient’s care. Recipients may select service providers from the managed care plans provider network.
This waiver amendment requests approval to: 1) revise case management qualifications; 2) remove Structured Family Caregiving from the waiver service menu; 3) revise performance measures; 4) update the spousal impoverishment policy; 5) update the physical therapy providers and 6) update the unduplicated recipient count and related Appendix J tables.
The 30 day comment period will begin on Monday, December 14, 2015 and end on Thursday, January 14, 2016. The Agency will post the draft waiver amendment request with a description of the changes on its website. When submitting written comments by postal service or internet email, please have ‘Long-term Care Waiver Amendment’ contained in the subject line. Mail comments and suggestions to:
Agency for Health Care Administration
Attention: HCBS Waivers
2727 Mahan Drive, MS 20
Tallahassee, Florida 32308
Email your comments and suggestions to: FLMedicaidWaivers@ahca.myflorida.com.
If you are hearing or speech impaired, please contact us using the Florida Relay Service, 1(800)955-8771 (TDD) or 1(800)955-8770 (Voice). For more information, you may contact: Keith Young at 1(850)412-4257 or email Keith.Young@AHCA.myflorida.com.
The waiver amendment request document can be viewed at the following link:
