Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
Assistive Care Services and Assisted Living for the Elderly Waiver
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<strong>Assistive</strong> <strong>Care</strong> <strong>Services</strong> <strong>and</strong> <strong>Assisted</strong> <strong>Living</strong> <strong>for</strong> <strong>the</strong> <strong>Elderly</strong> <strong>Waiver</strong> <strong>Services</strong><br />
Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />
Provider Qualifications <strong>and</strong> Responsibilities<br />
General <strong>Assistive</strong><br />
<strong>Care</strong> Service<br />
Provider<br />
Qualifications<br />
Three types of residences may qualify as Medicaid <strong>Assistive</strong> <strong>Care</strong> Service<br />
providers:<br />
• <strong>Assisted</strong> living facilities (ALFs) licensed pursuant to Chapter 400, Part<br />
III, FS;<br />
• Adult family care homes (AFCHs) licensed pursuant to Chapter 400,<br />
Part VII, FS; <strong>and</strong><br />
• Mental Health Residential treatment (RTFs) facilities licensed pursuant to<br />
Section 394.875 FS.<br />
In addition, an ACS provider must meet <strong>the</strong> following qualifications:<br />
• Is not an institution <strong>for</strong> mental diseases (IMD) as defined in<br />
42 CFR § 435.1009(2);<br />
• Provide on-site care to residents seven days a week;<br />
• Does not have a contract with a state agency that provides<br />
reimbursement <strong>for</strong> assistive care services as defined in this<br />
h<strong>and</strong>book;<br />
• Will not claim reimbursement <strong>for</strong> assistive care services <strong>for</strong> any<br />
recipient receiving a payment <strong>for</strong> personal care through <strong>the</strong> Optional<br />
State Supplementation (OSS) Program under Chapter 409.212, FS.<br />
Special <strong>Assistive</strong><br />
<strong>Care</strong> Provider<br />
Requirements <strong>for</strong><br />
RTFs<br />
Along with <strong>the</strong>ir Medicaid Provider application, RTFs must submit two<br />
additional <strong>for</strong>ms:<br />
• Provider Self-Certification Form (AHCA From 5000-3200) <strong>and</strong><br />
• Roster of OSS recipients.<br />
July 2001 1-4