409.979 Eligibility.—
(1) Medicaid recipients who meet all of the following criteria are eligible to receive long-term care services and must receive long-term care services by participating in the long-term care managed care program. The recipient must be:
(a) Sixty-five years of age or older, or age 18 or older and eligible for Medicaid by reason of a disability.
(b) Determined by the Comprehensive Assessment Review and Evaluation for Long-Term Care Services (CARES) Program to require nursing facility care as defined in s. 409.985(3).
(2) Medicaid recipients who, on the date long-term care managed care plans become available in their region, reside in a nursing home facility or are enrolled in one of the following long-term care Medicaid waiver programs are eligible to participate in the long-term care managed care program for up to 12 months without being reevaluated for their need for nursing facility care as defined in s. 409.985(3):
(a) The Assisted Living for the Frail Elderly Waiver.
(b) The Aged and Disabled Adult Waiver.
(c) The Consumer-Directed Care Plus Program as described in s. 409.221.
(d) The Program of All-inclusive Care for the Elderly.
(e) The Channeling Services Waiver for Frail Elders.
(3) The Department of Elderly Affairs shall make offers for enrollment to eligible individuals based on a wait-list prioritization and subject to availability of funds. Before enrollment offers, the department shall determine that sufficient funds exist to support additional enrollment into plans.
History.—s. 20, ch. 2011-134; s. 14, ch. 2012-33; s. 21, ch. 2014-18.
Section: Previous 409.972 409.973 409.974 409.975 409.976 409.977 409.978 409.979 409.98 409.981 409.982 409.983 409.984 409.985 NextLast modified: September 23, 2016