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The Florida Department of Health works to protect, promote & improve the health of all people in Florida through integrated state, county, & community efforts.

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Traumatic Brain and Spinal Cord Injury Waiver

Brain and Spinal Cord Injury Program

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.

General Information

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.

Waiver Intent

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.

Eligibility Requirements

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
(850) 921-0499