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Everything You Need to Know About the Florida Medicaid Waiver Program

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Everything You Need to Know About the Florida Medicaid Waiver Program

September 15, 2022
Geoff Hoatson

Medicaid is a federally-funded and state-administered program that offers coverage for many conditions, tests, and long-term care essentials that Medicare does not cover. However, it also features a set of strict qualifications for approval.

With a Medicaid waiver, you may qualify early with fewer restrictions. But applying for a Medicaid waiver can be a long and challenging process. Hiring a Florida Medicaid law firm to help you through each step is safer than attempting to apply yourself.

Before you search for “Medicaid lawyer near me,” read more about Florida Medicaid and Medicaid waivers from the team at Family First Firm.

What Is Medicaid?

Medicaid offers support for individuals who require financial assistance to receive medical care. A Medicaid recipient can receive healthcare through three main categories of care:

  • Managed Medical Assistance (MMA). MMA covers the costs of primary care visits, immunizations, emergency room visits, wellness appointments, prescriptions, pregnancy services, and more.
  • Long-Term Care (LTC). LTC covers assisted living, nursing home care, hospice, in-home care, and some long-term therapies.
  • Dental. Dental Medicaid covers costs of cleanings, x-rays, exams, and more.

Who Qualifies for Medicaid?

Medicaid rules are very strict in determining eligibility. Applicants must meet specific financial eligibility requirements based on assets and income. Qualifications are different for single or married applicants and include evaluation of assets, including income, real estate equity, and investments such as stocks, bonds, etc.  However, by working with a Medicaid lawyer, you can get eligible even if you are over the limits.

Additionally, applicants must be pregnant, have a disability, be responsible for a minor child, be responsible for a family member with a disability, or be 65 or older.

With so many different conditions, you may want to speak with an experienced Medicaid lawyer to help you file your application correctly.

What Is a Medicaid Waiver?

Medicaid waiver is a colloquial term used to describe a Medicaid program titled: Long-Term Care Home and Community Based Service. Many people can qualify for a Medicaid waiver under one of several waiver programs, including:

  • iBudget Florida
  • Developmental Disabilities Individual Budgeting
  • Familial Dysautonomia Waiver
  • Florida Long-Term Care
  • Florida Model Waiver
  • Long-Term Managed Care
  • Medicaid Family Planning Waiver
  • Florida Non-Emergency Transportation (NEMT)

If you intend to apply for a Medicaid waiver program, speaking with an experienced Medicaid law firm to find a knowledgeable attorney can help you determine which waiver program is best for you.

The Agency for Persons with Disabilities operates the Medicaid waiver program in Florida for people with developmental disabilities. Their program, iBudget, recently reformed its service categories to include eight service categories:

  • Life Skills Development
  • Supplies and Equipment
  • Personal Supports
  • Residential Services
  • Support Coordination
  • Therapeutic Supports and Wellness
  • Transportation
  • Dental Services

Before you search for “Medicaid attorney near me,” consider the other benefits of a Medicaid waiver program.

What Additional Benefits Do Florida Medicaid Waiver Programs Offer?

Whereas Medicare does not typically cover home care or long-term care, Medicaid offers coverage for nursing home care, hospice, assisted living care, and more. Approval for a Medicaid waiver can help you get long-term home or facility care sooner than if you simply wait to meet eligibility requirements.

Many Florida Medicaid waiver programs provide opportunities for early Medicaid approval. Once approved, you can begin receiving all the applicable benefits.

Do I Need a Medicaid Lawyer to Apply for a Medicaid Waiver?

A knowledgeable Medicaid attorney can help you file paperwork correctly, coach you on how to answer qualification questions truthfully while providing essential relevant information, and help you with each step of the process.

The Medicaid waiver wait list addresses applicants with the greatest need first. If you downplay your need for a waiver, it could be a very long time before you hear from the appropriate department. Speaking with an experienced attorney who specializes in Medicaid waiver qualification can help you determine which information about your condition is most relevant.

Although you don’t need a lawyer to apply, it can be a long process with several potential pitfalls without experienced guidance. Wait lists for Medicaid waiver programs are long, and rejection can set you back months or even years. Working closely with a Medicaid law firm can help you avoid several mistakes that can drag you to the bottom of the waitlist.

How Do I Find a Knowledgeable Medicaid Attorney Near Me?

Life happens quickly, and when it comes to government program applications, time is of the essence. Don’t wait any longer to speak to an experienced Medicaid attorney.

The team at Family First Firm - Medicaid & Elder Law Attorneys can match you with a Medicaid lawyer who will serve as your guide throughout this process, and fight diligently to help you receive the coverage you need. Before you search for “Medicaid lawyer near me,” call Family First Firm at (407) 574-8125, or contact us online to speak with one of our attorneys.

Copyright © 2024. Family First Firm - Medicaid & Elder Law Attorneys. All rights reserved.
The information in this blog post (“post”) is provided for general informational purposes only and may not reflect the current law in your jurisdiction. No information in this post should be construed as legal advice from the individual author or the law firm, nor is it intended to be a substitute for legal counsel on any subject matter. No reader of this post should act or refrain from acting based on any information included in or accessible through this post without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer licensed in the recipient’s state, country, or other appropriate licensing jurisdiction.
Family First Firm – Medicaid & Elder Law Attorneys
(407) 574-8125
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