Medicaid for Aged or Disabled

Medicaid for low income individuals who are either aged (65 or older) or disabled is called SSI-Related Medicaid.

Florida residents who are eligible for Supplemental Security Income (SSI) are automatically eligible for Medicaid coverage from the Social Security Administration. There is no need to file a separate ACCESS Florida application unless nursing home services are needed.

Individuals may apply for full Medicaid coverage and other services using the online ACCESS Florida Application and submitting it electronically. If long term care services in a nursing home or community setting are needed, the individual must check the box for HCBS/Waivers or Nursing Home on the Benefit Information screen. HCBS/Waiver programs provide in-home or assisted living services that help prevent institutionalization.

Medicare Savings Programs (Medicare Buy-In) help Medicare beneficiaries with limited finances pay their Medicare premiums; and in some instances, deductibles and co-payments. Medicare Buy-In provides different levels of assistance depending on the amount of an individual or couple’s income. Individuals may apply for Medicare Buy-In coverage only by completing a Medicaid/Medicare Buy-In Application.

The State of Florida offers The Medicaid Institutional Care Program that helps people in nursing facilities pay for the cost of their care plus provides general medical coverage. There are several requirements for qualification.

There is also a Medicaid Diversion Program which provides home based community services such as personal care, homemaker services, adult day care, meal preparation, and assistance with errands to name a few. If you or your loved one requires Assisted Living (ALF), the Home Based Community Services  Program (HBCS) can provide that alternative. A Comprehensive Assessment and Review for Long term Care Services (CARES) is conducted by the Department of Elder Affairs to assess you or your loved one’s eligibility for the program. Both Medicaid programs for Older Persons have been combined into a Medicaid Managed Care Program. There are four Managed Care Organizations (MCO’s) that are part of this pilot program implemented in this area first. Those on the program will have to stay within their provider network.  For additional information, please contact the Senior Resource Specialist.

Both programs require an online Medicaid application. There are strict income guidelines which can require professional assistance to meet these guidelines.

For more information please call the Orlando Senior Help Desk at 407-678-9363.

Copyright © 2017 Orlando Senior Help Desk. All rights reserved. Terms of Use
Orlando's Senior Help Desk is a free service of the Jewish Pavilion. We are financially supported by our generous sponsors and participating communities. Information provided is not to be considered medical or financial advice and users should consult with a licensed professional before making any final decisions. Orlando's Senior Help Desk and the Jewish Pavilion complies with the Can-Spam Act of 2003. "A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL-FREE WITHIN THE STATE. REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL, OR RECOMMENDATION BY THE STATE.  Reg # CH29417 Exp. 4/29/2020"

Call us:

407-678-9363

Email us at:

info@orlandoseniorhelpdesk.org

Find us: 

421 Montgomery Road #131

Altamonte Springs, Fl  32714

Tax ID The Jewish Pavilion 86-1082060