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Florida Medicaid Manual




The following are links to the Florida Medicaid Program Policy Manual. The portion that pertains directly to Nursing Home Medicaid are the sections denoted by MSSI (Medicaid SSI) and ICP (Institutional Care Program).

SSI-Related Programs are state administered programs whose policies are based on Title XVI of the Social Security Act, the same law which governs Supplemental Security Income (SSI). The Social Security Administration (SSA) is responsible for determining eligibility for SSI, which is a financial assistance program for the aged, blind, or disabled. The purpose of all SSI-Related Programs is to provide medical and/or financial assistance to needy individuals who are aged, blind, or disabled in the community or with special living arrangements. Although specific requirements may vary from program to program, the general program (technical) requirements are the same since all are based on SSI policy. 

An SSI-Related Medicaid case may contain one or more of the following types of assistance: Institutional Care Program (ICP), MEDS-AD, Protected Medicaid (PM), Medically Needy, Emergency Medicaid for Aliens (EMA), Hospice, Home and Community Based Services (HCBS), Refugee Assistance Program (RAP), Qualified Medicare Beneficiaries (QMB), Working Disabled (WD), Special Low Income Medicare Beneficiary (SLMB), Optional State Supplementation (OSS), Part B Medicare Only (PBMO), Home Care for Disabled Adults (HCDA), or food stamps. We have highlighted the sections that will be helpful in understanding the portions that deal with MSSI ICP, Nursing Home Medicaid.


Florida Medicaid Program Policy Manual

ACCESS  FLORIDA PROGRAM POLICY MANUAL


TABLE OF CONTENTS

Intro Introduction
200 General Program Information
400 Administrative Policy
600 Application Processing
800 Ongoing Case Processing
1400 Technical Requirements (FS/TCA)
   

1400

Technical Requirements (MFAM/MSSI)

  View this section for Nursing Home Medicaid (MSSI - ICP) Technical Requirements.
   
1400 Technical Requirements (CIC/RAP)
1600 Assets (FS/TCA)
   
1600 Assets (MFAM/MSSI)
  View this section for Nursing Home Medicaid (MSSI - ICP) Assets.
   
1600 Assets (CIC/RAP)
1800 Income (FS/TCA)
   
1800 Income (MFAM/MSSI)
  View this section for Nursing Home Medicaid (MSSI - ICP) Income.
   
1800 Income (CIC/RAP)
2000 Coverage Groups
2200 Standard Filing Unit
2400 Budgeting Income
   
2600 Calculation of Benefits 
  View this section for Nursing Home Medicaid (MSSI - ICP) Calculation of Benefits.
   
3000 Data Exchange
3200 Benefit Issuance
3400 Notices and Forms
3600 Benefit Recovery/ACCESS Integrity
4600 Glossary

 Florida Medicaid Program Policy Manual Appendixes

  • Appendix A-1        Food Assistance Income Eligibility Standards and Deductions
  • Appendix A-8        Transfer Penalty Determination Process
  • Appendix A-9        SSI-Related Programs - Financial Eligibility Standards
  • Appendix A-12      Optional State Supplementation Eligibility Standards
  • Appendix A-22      Qualified Medicaid Trust Guidelines and Forms
  • Appendix A-33      Chart for Determination of 40 Qualifying Quarters
  • Appendix A-35      Average Monthly Private Pay Nursing Home Rate

 

 

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Frequently Asked Questions


What is Medicaid Institutional Care Program (ICP)?

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Who may apply for Nursing Home Medicaid?

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Can I qualify for Nursing Home Medicaid if my Income is over the limit?

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What are Medicaid Asset Limits?

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How long does it take to get Medicaid?

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