Division of Statewide Community-Based Services
Marcy Hajdukiewicz, Director
Nursing home pre-admission screening
Federal regulations require pre-admission screening for mental illness or mental retardation for all applicants entering nursing homes that receive state and federal funding. In order to establish the applicantâ€™s need for nursing facility services, the Medicaid program has developed admission review policies and procedures. They are designed to evaluate the medical necessity for nursing facility care, the level of care required by the individual and preadmission screening of all nursing facility applicants to determine mental illness or developmental disabilities.
Support and oversight for the Departmentâ€™s Medicaid Waiver programs (operated in partnership with the Agency for Health Care Administration, Floridaâ€™s designated Medicaid agency).Like other Medicaid programs, Medicaid Waiver programs are provided through joint state and federal funding. However, Medicaid Waiver programs authorize the state to provide care in the individualâ€™s home, or in a community setting such as an assisted living facility or adult day care center, rather than in an institutional setting such as a nursing home or other skilled nursing facility. These Medicaid Waiver programs provide consumers independence and a choice of care settings, with the goal of also reducing the cost of care.
Support and oversight for the Departmentâ€™s non-Medicaid home- and community-based programs and services.
Most of these services are provided by not-for-profit agencies and local governments under contract through the stateâ€™s 11 Area Agencies on Aging. Contracted programs include the federally funded Older Americans Act (OAA), Emergency Home Energy Assistance for the Elderly (EHEAP), and Food and Nutrition Services programs, as well as the state-funded Community Care for the Elderly, Alzheimerâ€™s Disease Initiative and Home Care for the Elderly programs.
Services provided directly by the Department or contracted to entities other than Area Agencies on Aging.
These services include the Adult Care Food Program, Elder Farmersâ€™ Market Nutrition Program, memory disorder clinics, brain bank and the Senior Community Service Employment Program. The division also approves Alzheimerâ€™s disease training providers and training curricula for specified staff of nursing homes and assisted living facilities and other long-term care facilities.
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