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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> Wavier <strong>Services</strong><br />

Coverage <strong>and</strong> Limitations H<strong>and</strong>book<br />

Requirements to Receive <strong>Services</strong>, continued<br />

Who Cannot<br />

Receive ACS<br />

<strong>Services</strong><br />

Institutionalized Medicaid recipients residing in institutions such as nursing<br />

facilities, state mental hospitals, institutions of mental disease, or intermediate<br />

facilities <strong>for</strong> <strong>the</strong> developmentally disabled cannot receive ACS.<br />

Income Guidelines<br />

<strong>for</strong> <strong>Assistive</strong> <strong>Care</strong><br />

Service (ACS)<br />

The income guidelines <strong>for</strong> facilities with potential assistive care service<br />

residents are as follows:<br />

Applicants Maximum Income <strong>for</strong>: Amount:<br />

OSS recipient<br />

$609.40 per month<br />

Medicaid (MEDS-AD) (unless eligible <strong>for</strong> $665.00 per month<br />

Medicaid under ICP or Medicaid <strong>Waiver</strong>)<br />

Home <strong>and</strong> Community-Based <strong>Waiver</strong> $1,593.00 per month (ICP<br />

income limit)<br />

Residents with monthly incomes at or below $609.40 are eligible <strong>for</strong> both<br />

OSS <strong>and</strong> ACS payments.<br />

Residents with monthly incomes between $609.41 <strong>and</strong> $665.00 can receive<br />

ACS provided o<strong>the</strong>r Medicaid eligibility requirements are met.<br />

Residents with monthly incomes between $665.01 <strong>and</strong> $1,593.00 are not<br />

eligible <strong>for</strong> ACS alone. These residents may be eligible <strong>for</strong> ACS through <strong>the</strong><br />

ALE waiver as described in Part II of this h<strong>and</strong>book.<br />

If an individual is eligible <strong>for</strong> Medicaid through <strong>the</strong> Medically Needy Program,<br />

he or she is not eligible <strong>for</strong> ACS.<br />

Note: Income limits are revised as federal poverty levels are updated.<br />

Please check <strong>the</strong> SSI-Related Fact Sheet on <strong>the</strong> Internet at<br />

www.fdhc.state.fl.us <strong>for</strong> <strong>the</strong> latest updates. Click on Medicaid. There is a<br />

link to <strong>the</strong> SSI-Related Fact Sheet on <strong>the</strong> Medicaid page. In<strong>for</strong>mation about<br />

income limits is also available from <strong>the</strong> DCF service centers.<br />

July 2001 2-3

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