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-10 Federal Benefit Rates
- Appendix A-11 Title II Cost of Living Increases
- Appendix A-12 Optional State Supplementation Eligibility Standards
- Appendix A-13 Active Medicaid Program Codes
- Appendix A-14 Life Expectancy Table
- Appendix A-16 Certification of Prior Residence
- Appendix A-17 Life Estate and Remainder Interest Table
- Appendix A-22 Qualified Medicaid Trust Guidelines and Forms
- Appendix A-22.1 Guidelines for Reviewing Income Trusts
- Appendix A-22.3 Guidelines for Reviewing Trusts for the Disabled
- Appendix A-22.4 Trusts for the Disabled Review Form
- Appendix A-22.5 Income Trust Review Form
- Appendix A-22.6 Pooled Trusts for the Disabled Review Form
- Appendix A-33 Chart for Determination of 40 Qualifying Quarters
- Appendix A-34 Guideline for Evaluating Annuities
- Appendix A-35 Average Monthly Private Pay Nursing Home Rate
- 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-10 Federal Benefit Rates
- Appendix A-11 Title II Cost of Living Increases
- Appendix A-12 Optional State Supplementation Eligibility Standards
- Appendix A-13 Active Medicaid Program Codes
- Appendix A-14 Life Expectancy Table
- Appendix A-16 Certification of Prior Residence
- Appendix A-17 Life Estate and Remainder Interest Table
- Appendix A-22 Qualified Medicaid Trust Guidelines and Forms
- Appendix A-22.1 Guidelines for Reviewing Income Trusts
- Appendix A-22.3 Guidelines for Reviewing Trusts for the Disabled
- Appendix A-22.4 Trusts for the Disabled Review Form
- Appendix A-22.5 Income Trust Review Form
- Appendix A-22.6 Pooled Trusts for the Disabled Review Form
- Appendix A-33 Chart for Determination of 40 Qualifying Quarters
- Appendix A-34 Guideline for Evaluating Annuities
- Appendix A-35 Average Monthly Private Pay Nursing Home Rate
- Appendix A-1 Food Assistance Income Eligibility Standards and Deductions
Let US Help TODAY by clicking the button below
or calling
1-800-396-5145
The Consultation is FREE!
