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Florida Medicaid waivers that pay for home care

Last verified April 30, 2026 · All Florida resources

Florida Medicaid pays for in-home personal care and related services through the Statewide Medicaid Managed Care Long-term Care (SMMC LTC) Program. Florida operates the SMMC LTC program under combined 1915(b)/(c) Waiver authority. Over two dozen home and community-based services and nursing facility services are reimbursed through the program. AHCA administers and sets policy; DCF determines financial eligibility; the Department of Elder Affairs (DOEA) determines medical eligibility.

Which Florida waivers can a home care agency bill?

Each waiver below lists who it covers, the services it pays for, and how providers bill.

Statewide Medicaid Managed Care Long-term Care (SMMC LTC) Program

Population
Adults 18 and older who need long-term services and support and meet nursing facility level of care
Services covered
  • personal care in-home services
  • home and community-based services
  • nursing facility services
  • hospice
  • adult day health care
  • homemaker
  • respite
Billing format
Capitated managed care via LTC plans; EVV via HHAeXchange or an alternate EVV system
Prior authorization
Required
Open waiver page (opens in a new tab)

Sources

More for Florida

Medicaid waiver lookup: other states

Related guides

Authorizations

How to Become a Medicaid Provider for Home Care

To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.

These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.

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