Traumatic Brain and Spinal Cord Injury Waiver
What is a Waiver?
Home and community-based waivers (1915(c)) are tools used by states to obtain federal Medicaid matching funds to provide long-term care to patients in settings other than institutions.
Waivers must be approved by Centers for Medicare/Medicaid Services (CMS) and are good for three years, after which they may be renewed every five years.
Home and community-based care is increasingly being viewed as a preferable alternative to long-term institutional care.
v Benefits the individual who may remain among friends and family.
v Benefits the state because services may be provided for less than the cost of institutional care.
v To re-integrate individuals into their communities;
v To ensure that quality services are delivered in the most effective and cost efficient manner through a coordinated system; and
v To utilize program funds to leverage federal dollars and grants to support the long-term goals of the program.
To provide Medicaid-eligible clients who meet nursing home level of care with long-term community-based services and supports necessary to live safely and independently in the community.
The current 1915(c) Home and Community-Based Care Waiver became effective July 2002 and was renewed in July 2007 for 5 additional years.
The program provides greater flexibility in serving beneficiaries since state plan Medicaid limits services to disabled adults.
v Florida residents age 18 and over;
v Must be referred to the BSCIP Central Registry;
v Meets state definition of traumatic brain injury, spinal cord injury or both;
v Must be medically stable;
v Must meet at least Level II nursing home level of care; and
v Must be financially eligible for Florida Medicaid.
Central Registry: 1-800-342-0778
Central Registry Fax:(850) 410-1975
Department of Health
Brain and Spinal Cord Injury Program
4052 Bald Cypress Way, Bin C25
Tallahassee, Florida 32399-1744
Program Fax Number