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LTC Medicaid Assistance

LTC Medicaid Waiver

Struggling with getting your residents on Long Term Care? Not getting reimbursed?

We can help!

LTC Waiver

According to the AHCA Florida Medicaid website: The purpose of the Medicaid Long-term Care Waiver is to provide services to eligible individuals age 18 or older who need long-term services and supports, including individuals over the age of 18 with a diagnosis of cystic fibrosis, AIDS, or a traumatic brain or spinal cord injury.  The Long-term Care Waiver is designed to delay or prevent institutionalization and allow waiver recipients to maintain stable health while receiving services at home and in the community. Individuals in the program may also be served in a nursing facility setting.

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Who is Eligible?

 
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Individuals enrolled in the Long-term Care program must be:

  • 65 years of age or older AND need nursing facility level of care; or

  • 18 years of age or older AND eligible for Medicaid by reason of disability AND need nursing facility level of care

Or:

  • 18 years of age or older with a diagnosis of cystic fibrosis AND have a hospital level of care.

Steps

Provider Contacts

Once you have determined  a resident may be eligible, you will follow the process of getting approved. Many will tell you this is the time consuming process and many times residents get 'stuck' on the wait list. This is where our team can help, from beginning to end.

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Step 1: Screening process 

    - Phone screening is conducted to confirm eligibility, receive ranking and add to wait list.

Step 2: Eligibility

    -  Released from wait list and 3008/medicaid benefits completed if not already.

Step 3: Enrollment

    - Pick a Long Term Care plan and reach out to plans representative.

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There is a lot more that goes into getting approved and off the wait list quickly. If you have a resident stuck on the wait list or you have a payment issues with a plan please reach out to us! We have experienced agents and team members that are able to get you the assistance you need quickly!

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I need LTC help!

We offer FREE Consultations and review of current wait list cases.

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813-748-7853

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©2023 by LPS Healthcare Solutions LLC.

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