Model waiver

Keywords: model waiver
Description: AHCA: About Medicaid

The purpose of the Medicaid Model Waiver is to provide services to eligible children under 21 years of age who are medically complex/medically fragile or diagnosed with degenerative spinocerebellar disease. The Model Waiver is designed to delay or prevent institutionalization and allow waiver recipients to maintain stable health while living at home in their community.

  • Be deemed medically complex or medically fragile
  • Be diagnosed with degenerative spinocerebellar disease
  • Be 20 years of age or younger
  • Be determined disabled using criteria established by the Social Security Administration (SSA)
  • Meet an "at risk for hospitalization" level of care as determined by the Children’s Multidisciplinary Assessment Team (CMAT)
  • Be diagnosed as having a degenerative spinocerebellar disease, or deemed medically fragile and have resided in a skilled nursing facility for at least 60 consecutive days prior to enrollment
  • Assistive Technology and service evaluation
  • Case Management provided by the Department of Health, Children’s Medical Services (CMS)
  • Environmental Accessibility Adaptations
  • Nursing Home Transition
  • Respite Care

For information on how to apply for the Model Waiver, contact the Agency for Health Care Administration by phone toll-free at (888) 419-3456, or by mail at: Agency for Health Care Administration, 2727 Mahan Drive, Mail Stop 20, Tallahassee, FL 32308.

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