Insurance & Payment
Long-Term Care Medicaid & Statewide Medicaid Managed Care in Florida
Florida's Long-Term Care Medicaid program, delivered through Statewide Medicaid Managed Care (SMMC), pays for home care so eligible seniors and adults with disabilities can stay in their own homes instead of a nursing facility. Focus Family Care accepts major Medicaid Long-Term Care plans across South Florida.
Focus Family Care is a home healthcare provider. We do not sell, broker, compare, or enroll individuals in health insurance plans. We accept certain insurance plans as payment for eligible home healthcare services.
Quick Answer
Long-term care Medicaid in Florida is delivered through the Statewide Medicaid Managed Care (SMMC) Long-Term Care program. It covers home care, including personal care, home health aide services, and homemaker services, so eligible seniors and adults with disabilities can remain at home instead of entering a nursing facility. Focus Family Care accepts major Medicaid Long-Term Care plans and verifies your plan at no charge.
Key Takeaways
- Florida delivers long-term care Medicaid through the **Statewide Medicaid Managed Care (SMMC) Long-Term Care program**.
- The Long-Term Care program covers **home care**: personal care, home health aides, and homemaker services, as an alternative to a nursing home.
- Focus Family Care accepts **major Medicaid Long-Term Care plans**, including Sunshine Health, Simply Healthcare, Molina, Humana, UnitedHealthcare, Aetna, and Florida Community Care.
- Focus Family Care verifies your Long-Term Care Medicaid plan **at no charge** before care begins.
What Is Long-Term Care Medicaid in Florida?
Long-term care Medicaid is the Florida Medicaid program that pays for ongoing care at home for people who need help with daily living over the long term. Florida delivers it through the Statewide Medicaid Managed Care (SMMC) Long-Term Care program. Unlike short-term medical home health care under Medicaid, long-term care Medicaid covers ongoing personal care and support so a person can stay in their own home instead of moving to a nursing facility.
How Statewide Medicaid Managed Care Delivers Home Care
Statewide Medicaid Managed Care (SMMC) is how Florida runs its Medicaid program. Members enrolled in the Long-Term Care program choose a managed-care plan, and that plan authorizes home care hours and coordinates services through an enrolled agency. Focus Family Care works with the plan's case manager to set up personal care, home health aides, and homemaker services under the approved plan of care.
Who Qualifies for Long-Term Care Medicaid
To qualify for Florida's Long-Term Care Medicaid program, a person is generally 65 or older, or 18 and older with a disability, meets Medicaid's financial limits, and needs a nursing-facility level of care confirmed through a CARES assessment. Enrollment is managed by the state, and there can be a wait list. Focus Family Care helps families understand the steps and coordinates with the Long-Term Care plan once care is approved.
Medicaid Long-Term Care Plans Focus Family Care Accepts
Most Florida Medicaid Long-Term Care members receive benefits through a managed-care plan, and coverage depends on the agency being in-network. Focus Family Care accepts major Florida Medicaid Long-Term Care plans, including Sunshine Health, Simply Healthcare, Molina Healthcare, Humana, UnitedHealthcare, Aetna, and Florida Community Care. A coordinator confirms your specific plan before care begins.
How We Know This
Focus Family Care is a Florida-licensed home health agency and nurse registry (License NR #30211928, HHA #299995403) accredited by ACHC. Guidance on this page is reviewed by the agency's Director of Nursing, and coverage details are verified with each family's insurance before care begins.
Sources
Frequently Asked Questions
What is long-term care Medicaid in Florida?
Long-term care Medicaid is the Florida Medicaid program that pays for ongoing home care and support for people who need long-term help with daily living. Florida delivers it through the Statewide Medicaid Managed Care (SMMC) Long-Term Care program, and it can cover care at home instead of a nursing facility.
What is Statewide Medicaid Managed Care?
Statewide Medicaid Managed Care (SMMC) is how Florida runs its Medicaid program. Members choose a managed-care plan, and the Long-Term Care part of SMMC authorizes home care services like personal care and home health aides through an enrolled agency such as Focus Family Care.
Does long-term care Medicaid pay for home care?
Yes. Florida's Long-Term Care Medicaid program covers personal care, home health aide services, and homemaker services at home for eligible members, so they can stay in their own home. Focus Family Care accepts major Long-Term Care plans and verifies coverage for free.
Which Medicaid long-term care plans do you accept?
Focus Family Care accepts major Florida Medicaid Long-Term Care managed-care plans, including Sunshine Health, Simply Healthcare, Molina, Humana, UnitedHealthcare, Aetna, and Florida Community Care. Call (561) 693-1311 and we verify your plan for free.
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515 N Flagler Drive, Suite 350, West Palm Beach, FL 33401