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


Florida has two types of nursing homes--Skilled Nursing Facilities and Skilled Nursing Units. Skilled Nursing Facilities (SNFs) are either freestanding or part of a continuing care retirement community (CCRC) and are governed through special contracts. Skilled Nursing Units (SNUs) are based in hospitals. They typically provide only short term care and rehabilitation services. The skilled nursing unit is licensed as part of the hospital.1 The state has a moratorium on nursing home construction, effective July 1, 2001 through July 1, 2006.

Medicaid reimburses for nursing facility services for Medicaid clients who meet Florida's Institutional Care Program (ICP) eligibility requirements. There are three levels of nursing facility care--Skilled, Intermediate 1, and Intermediate 2. Approximately 77 percent of the state's 2002-03 long term care budget is for nursing home services.

1. There were 703 SNFs (including SNUs) in the year 2000 in Florida, with 81,163 beds; 52,649 were Medicaid beds. (Personal communication, Jennifer Salmon)

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