Florida’s ICSP operates using the staff of LTCS, local ADRCs, and the LTCOP to ensure that SMMC LTC consumers have multiple access points for information, complaints, grievances, appeals, or questions. The Independent Consumer Support Program (ICSP), is a coordinated effort by the Florida Department of Elder Affairs’ Bureau of Long-Term Care & Support (LTCS), working in collaboration with the statewide Long-Term Care Ombudsman Program (LTCOP), the local Aging and Disability Resource Centers (ADRCs), and AHCA. For more information about the Statewide Medicaid Managed Care Long-Term Care program, please visit the LTC website at:.Be determined by the Comprehensive Assessment and Review for Long-Term Care Services (CARES) unit at the Department of Elder Affairs to be at nursing home level of care and meet one or more established clinical criteria.Age 18 and over and eligible for Medicaid by reason of a disability.Age 65 and over and eligible for Medicaid.Individuals that meet the following criteria are eligible to receive services under SMMC LTC:.Nutritional Assessment and Risk ReductionĪll of these services are available based on medical necessity, or they must be necessary in order to delay or prevent nursing facility placement.Services or Activities:Įach managed care plan contracted with AHCA to provide long-term care services must, at a minimum, provide the following services:
Medicaid recipients who qualify and become enrolled in SMMC LTC will receive long-term care services from a long-term care managed care plan. The Managed Medical Assistance (MMA) Program.The Long-Term Care (LTC) Managed Care Program.There are two different programs that make up the Statewide Medicaid Managed Care: Because of this program, the Agency for Health Care Administration (AHCA) and Department of Elder Affairs changed how some individuals receive their long-term care from the Florida Medicaid Program. In 2011, the Florida Legislature created a new program called the Statewide Medicaid Managed Care (SMMC) program.
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