Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. II. Residential Care Settings

12/01/2003

Florida has two major types of residential care settings primarily for elderly persons: assisted living facilities (ALFs), which were called adult congregate living facilities until 1997, and adult family-care homes (AFCHs). Each type of setting has similar but separate licensing and regulatory requirements. ALFs that meet basic license requirements may apply for a special license for specific purposes, as described below.

Residents in AFHCs and ALFs can receive personal care state plan services as long as they meet Medicaid's eligibility requirements and the facilities meet the regulatory requirements for providing these services.

Residents in only two types of ALFs--those with a Limited Nursing Services (LNS) license and those with an Extended Congregate Care (ECC) license--can receive Medicaid waiver services, as long as they meet the nursing home level-of-care criteria and the facilities meet the regulatory requirements for providing these services.

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