Adult Protective Services
In-Home Community Services
The Adult Protective Services Program supports ongoing case management and in-home services through Community-Based services (Chapter 410, F.S.). The Program Office sets guidelines, pursuant to applicable statutory and/or Federal Regulations, for in-home care for adults with disabilities in family-type living arrangements, such as private homes, as an alternative to institutional or nursing home care. Clients who qualify for these services are adults with disabilities aged 18 through 59 years with permanent physical or mental limitations that restrict their ability to perform normal activities of daily living and their capacity to live independently. Through case management and other in-home services, the program supports and maintains adults with disabilities' independence and quality of life.
Home Care for Disabled Adults
This program provides case management services and a small financial subsidy to approved caregivers providing in-home care to adult persons (18 through 59 years of age) with disabilities who would otherwise be placed in nursing homes or institutions. Subsidy payments, though limited in amount, are intended to help offset the cost of housing, food, clothing, and incidentals, as well as those expenses related to medical, pharmaceutical, and dental services not covered by Medicare, Medicaid, or another form of insurance. A special pre-authorized reimbursed supplemental subsidy may also provide for assistance with the purchase of equipment, supplies, and/or services when regarded as essential to the health and well being of the individual, if funding is available (ss. 410.031-410.037, F.S.; Chapter 65C-1, F.A.C.)
Community Care for Disabled Adults
The Community Care for Disabled Adults (CCDA) program assists adults (18 through 59 years of age) who have a permanent physical or mental disability that restricts their ability to perform one or more activities of daily living and impedes their capacity to live independently. Through the provision of, or linkage to, in-home services, CCDA helps these adults with disabilities live dignified and reasonably independent lives in their own homes. Services include but are not limited to: adult day care; case management; chore service; escort service; homemaker service; and personal care.
Through these services, CCDA strives to enhance the individual's quality of life, help the individual to remain in the least restrictive environment, and prevent premature institutionalization. (ss. 410.601-606, F.S.; Chapter 65C-2, F.A.C.)
Aged and Disabled Adult Medicaid Waiver
This program assists permanently disabled adults (18 through 59 years of age) who are at risk of being placed in long-term care facilities. It allows disabled adults to be cared for in their homes, preserving their independence and ties to family and friends. To be eligible to receive services, the individual must meet Medicaid financial eligibility and level of care for nursing home placement. The Aged and Disabled Adult Waiver program provides services similar to those provided by the CCDA program listed above. Each department district is responsible for the administration of the Medicaid Waiver program. Some districts, through agency staff, provide case management services and contract with community service providers for the provision of eligible services of the Medicaid Waiver program. Other districts contract with provider agencies for all services, including case management. Services include personal care, home delivered meals, homemaker services, day care, and other services. (Section 1915(c) of the Social Security Act; Title 42, Code of Federal Regulations, Part 441.302; Chapter 409, F.S.; Chapter 59G, F.A.C.)
Consumer Directed Care Plus
The Consumer Directed Care Plus State Plan program provides recipients the opportunity to manage the Medicaid funds allocated for their medically necessary care. Recipients of this program are allowed to direct their own care and to control the budget allocated for their long-term care needs. The recipient becomes the employer of record for all directly hired workers, thus increasing recipient autonomy and maximizing funding allocated to the program. Approved services administered through this program are very similar to the services available through the Aged/Disabled Adult Waiver program.