Assistive Care Services and Assisted Living for the Elderly Waiver

Assistive Care Services and Assisted Living for the Elderly Waiver Services
Coverage and Limitations Handbook
Provider Qualifications and Responsibilities, continued
ALE Waiver Facility
Provider
Qualifications
Medicaid ALE waiver providers must:
• Be enrolled with the Medicaid fiscal agent as an ALE waiver provider;
• Not be currently suspended from Medicare or Medicaid in any state;
• Be licensed by the Division of Health Quality Assurance (HQA) under
Chapter 400, Part III, F.S., for ECC or LNS; and
• Specify a staff member to serve as the facility supervisor authorized to
sign service plans, if the administrator does not perform this function.
Facility Provider
Responsibilities
ALFs are required by licensure to provide sufficient staff and a variety of
services to all individuals residing in assisted living facilities.
The facility staffing for waiver recipients must be based on the amount and
type of services provided to recipients as authorized in plans of care and in
accordance with recipient service needs documented in the consumer
assessment.
ALFs must provide 24-hour on-site staff to meet scheduled or unpredicted
needs and to provide supervision for safety and security.
ALE waiver providers must also:
• Provide each recipient with a private room or apartment or a semiprivate
room or apartment shared with a roommate of the recipient’s
choice and consent;
• Develop a service plan for each ALE waiver recipient;
• Specify a staff member to serve as the facility supervisor authorized
to sign service plans, if the administrator does not perform this
function;
• Comply with all provisions of the Medicaid Provider Agreement;
and
• Cooperate with Medicaid monitoring staff or its designated
representatives.
July 2001 4-4