Current Wait list Strategy for Placement on the Medicaid Waiver Alternative Strategies while you wait.
Medicaid Eligibility:
Eligibility to receive Medicaid waiver services from the Agency for Persons with Disabilities (APD) is determined by:
Most individuals applying for APD services receive either Social Security Disability Income (SSDI), Supplemental Security Income (SSI), or Social Security (SSA) (http://best.ssa.gov). The APD application for services must be completed, and eligibility for the program must be determined within 45 days for children and 60 days for adults. This APD application includes determining eligibility for APD services and eligibility for APD waiver services. These are two different criteria.
Enrollment for APD Waiver Services
Enrollment to waiver services is offered when the agency has available funds. Individuals on the waiver enrollment wait list will receive a letter that offers them waiver enrollment when it is available. All individuals offered waiver enrollment must be eligible to receive Medicaid.
If the individual does not have Medicaid, the individual must complete the Medicaid eligibility process before waiver enrollment can be completed. Children under 18, whose parents do not fit the income requirements for Medicaid, may apply for APD waiver service enrollment and be placed on the APD waiver services wait list. When APD funding becomes available for their application for waiver services, the child may apply for Medicaid as a "family of one" to become eligible.
The Department of Children and Families, Economic Self-Sufficiency coordinates with APD on eligibility determination for Medicaid. Medicaid eligibility determination can take up to 90 days, depending on the complexity of the situation. In some cases, eligibility determinations must be made by the Social Security office and may take additional time.
If funding becomes available and an individual has been offered waiver services by APD, upon receipt of Medicaid eligibility determination, APD will enroll the individual on the appropriate waiver and transfer the file to a Waiver Support Coordinator (WSC) who is selected by the individual or family to assist in establishing goals and selecting services.
It is very important that the individual or family provide the Economic Self-Sufficiency office with information to make Medicaid determination in a timely manner. Even though an individual has received a letter offering waiver services from APD, eligibility determination for Medicaid requirements must first be met before the individual can select a Waiver Support Coordinator to determine the needs of the individual.
Medicaid Eligibility:
Eligibility to receive Medicaid waiver services from the Agency for Persons with Disabilities (APD) is determined by:
- Criteria established by APD (Florida Statutes 393) and
- Criteria established by Medicaid. Medicaid eligibility must meet financial and disability requirements.
Most individuals applying for APD services receive either Social Security Disability Income (SSDI), Supplemental Security Income (SSI), or Social Security (SSA) (http://best.ssa.gov). The APD application for services must be completed, and eligibility for the program must be determined within 45 days for children and 60 days for adults. This APD application includes determining eligibility for APD services and eligibility for APD waiver services. These are two different criteria.
Enrollment for APD Waiver Services
Enrollment to waiver services is offered when the agency has available funds. Individuals on the waiver enrollment wait list will receive a letter that offers them waiver enrollment when it is available. All individuals offered waiver enrollment must be eligible to receive Medicaid.
If the individual does not have Medicaid, the individual must complete the Medicaid eligibility process before waiver enrollment can be completed. Children under 18, whose parents do not fit the income requirements for Medicaid, may apply for APD waiver service enrollment and be placed on the APD waiver services wait list. When APD funding becomes available for their application for waiver services, the child may apply for Medicaid as a "family of one" to become eligible.
The Department of Children and Families, Economic Self-Sufficiency coordinates with APD on eligibility determination for Medicaid. Medicaid eligibility determination can take up to 90 days, depending on the complexity of the situation. In some cases, eligibility determinations must be made by the Social Security office and may take additional time.
If funding becomes available and an individual has been offered waiver services by APD, upon receipt of Medicaid eligibility determination, APD will enroll the individual on the appropriate waiver and transfer the file to a Waiver Support Coordinator (WSC) who is selected by the individual or family to assist in establishing goals and selecting services.
It is very important that the individual or family provide the Economic Self-Sufficiency office with information to make Medicaid determination in a timely manner. Even though an individual has received a letter offering waiver services from APD, eligibility determination for Medicaid requirements must first be met before the individual can select a Waiver Support Coordinator to determine the needs of the individual.