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FL Department of Elder Affairs

Last updated May 2021

Focus of the agency the Agency for Health Care Administration

From wikipedia

The Florida Department of Elder Affairs (DOEA) is the Florida government agency focused on senior citizens. As described in the Older Americans Act, it is the state’s unit on aging. It oversees the Office of Public and Professional Guardians.[1]

The department’s creation was approved in a 1988 constitutional amendment under the name Department of Elderly Affairs[2] but did not begin operations until January 1992.[3] Governor Lawton Chiles, who established the department[4], started calling it Elder Affairs since he thought Elderly Affairs was less dignified.[5] The department started with just six employees and some volunteers.[6] E. Bentley Lipscomb was the first secretary for the department.[5]

From the agency

Florida is home to nearly 5.5 million residents age 60 and older and currently ranks first in the nation for the 65+ populations. As our senior population continues to increase, Florida’s future is linked to the financial, health, and physical security of our elder population.The Department provides most direct services through its Division of Statewide Community-Based Services, which works through the state’s eleven Area Agencies on Aging and local service providers to deliver essential services to a vital segment of the population. The Department also directly administers a wide range of programs, ranging from the Long-Term Care Ombudsman Program, Office of Public and Professional Guardians, and the Livable Florida Initiative to SHINE (Serving Health Insurance Needs of Elders) and CARES (Comprehensive Assessment and Review for Long-Term Care Services).The Department recognizes that individuals age differently, and therefore the state’s residents do not each need the same kind of care or services as others the same age. Some individuals may suffer from chronic conditions that began long before they reached age 60, while others may be able to live their entire lives without ever needing long-term medical or social services. One of the Department’s highest priorities is reducing the need for many elders to be placed in nursing homes and other long-term care facilities. Ultimately, the goal is to efficiently use resources to ensure that the greatest number of elders possible get to spend their golden years living healthy, active, and fulfilling lives in their communities.
Mission Statement: To promote the well-being, safety, and independence of Florida’s seniors, their families, and caregivers.
Vision: For all Floridians to live well and age well

http://elderaffairs.state.fl.us/doea/about.php

Major programs operated by the agency

ProgramDescription
Adult care food programThe goal of this program is to support the provision of nutritious meals and / or snacks served to community-based adults attending adult day care centers. 
The nutritious meals will support and possibly improve their nutritional status, enabling them to prolong living in their own community.
Community Care for the Elderly (CCE) ProgramEligible clients may receive a wide range of goods and services, including: adult day care, adult day health care, case management, case aide, chore, companionship, consumable medical supplies, counseling, escort, emergency alert response, emergency home repair, home-delivered meals, home health aide, homemaker, home nursing, information and referral, legal assistance, material aid, medical therapeutic services, personal care, respite, shopping assistance, transportation, and other community-based services.
Comprehensive Assessment and Review
for Long-Term Care Services (CARES)*
Comprehensive Assessment and Review for Long-Term Care Services (CARES) is Florida’s federally mandated pre-admission screening program for nursing home applicants. Federal law mandates that the CARES Program perform an assessment or review of each individual who requests Medicaid reimbursement for nursing facility placement, or who seeks to receive home and community-based services through Medicaid waivers like Familial Dysautonomia Waiver, and Statewide Medicaid Managed Care Long-Term Care Program. Any person or family member can initiate a CARES assessment by applying for the Medicaid Institutional Care Program (ICP). Assessments are completed at no cost to the clients.
Emergency Home Energy Assistance for the Elderly Program (EHEAP)The Emergency Home Energy Assistance for the Elderly Program (EHEAP) assists low-income households, with at least one person age 60 and older, when the households are experiencing a home energy emergency.
A home energy emergency may result from a delinquent utility bill, lack of fuel or wood, or the receipt of a shut off notice. Payments are for home heating or cooling and other emergency energy-related costs during the heating (October-March) and cooling (April-September) seasons. Eligible households may be provided one benefit per season, up to $600 per season. Payments are made directly to the vendor or by a two-party check to the vendor and client for electricity, natural gas, propane, fuel oil, kerosene, or wood.
Program of All-Inclusive Care (PACE)*The PACE program provides voluntary managed long-term care programs to address the increase in state expenditures for long-term care services and to meet consumer needs. The program is implemented in consultation with the Agency for Health Care Administration. PACE targets individuals eligible for Medicaid nursing home placement, and provides a comprehensive array of home- and community based, long-term care services as well as all Medicare (acute care) services. Services are typically delivered in an adult day health care setting.
Statewide Medicaid Managed Care Long-term Care Program (SMMC LTC)*SMMC LTC is designed to provide home and community-based services to Medicaid recipients who are 65 years of age or older, or age 18 or older and eligible for Medicaid by reason of a disability; and determined to require nursing facility level of care. Created by Florida Legislature in 2011, SMMC LTC is a way to receive long-term care services, including nursing home and in-home care services, in a managed care setting. Managed care is a term for the process of how health care organizations manage the way their enrollees receive health care services. Managed care organizations work with different health care providers to offer quality health care services to ensure enrollees have access to the health care providers they need.
Older Americans Act ProgramsMultiple programs, including Supportive Services, Congregate Meals, Home-Delivered Meals, Preventive Health, Family Caregiver Support and other programs
http://elderaffairs.state.fl.us/doea/programs.php

*NOTE: Some programs may be jointly operated with other agencies

Organizational chart

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FL Department of Health

Last updated May 2021

https://en.wikipedia.org/wiki/Florida_Department_of_Health

http://www.floridahealth.gov/index.html

https://en.wikipedia.org/wiki/Florida_Department_of_Health

Focus of the agency the Agency for Health Care Administration

from wiki

The Florida Department of Health is responsible for protecting the public health and safety of the residents and visitors of the state of Florida. It is a cabinet-level agency of the state government, headed by a state surgeon general who reports to the governor. The department has its headquarters in Tallahassee.[1]

During the 1996 legislative session, the beleaguered Florida Department of Health and Rehabilitative Services was reconstructed as two entities: the Department of Health and the Florida Department of Children and Families.[2]

The Florida Department of Health operates county health departments in all 67 of the state’s counties. The agency employs more than 17,000 persons. It has worked on two-year-old immunizations, tobacco control, and statewide preparedness response efforts.

From the agency

The Florida Department of Health (FDOH) was established by the Florida Legislature in 1996; however, public health has its roots in Florida dating back to 1888 with the creation of the Florida State Board of Health. In 2007, the first-ever State Surgeon General was established to spearhead the efforts of FDOH, thereby designating a health officer to oversee all matters of public health. The Surgeon General’s role is to be the state’s leading advocate for wellness and disease prevention.

FDOH is an executive branch agency, established in section 20.43, F.S. FDOH is led by a State Surgeon General, who serves as the State Health Officer and is directly appointed by Florida’s Governor, and confirmed by Florida’s Senate. FDOH has three deputy secretaries that oversee all of its business and programmatic operations.

FDOH is comprised of a state health office (central office) in Tallahassee, with statewide responsibilities; Florida’s 67 County Health Departments (CHDs); 22 Children’s Medical Services (CMS) area offices; 12 Medical Quality Assurance (MQA) regional offices; nine Disability Determinations regional offices; and three public health laboratories. Facilities for the 67 CHDs are provided through partnerships with local county governments. These 67 CHDs have a total of 255 sites throughout the state, providing a variety of services, and ranging from small to large in location size.

http://www.floridahealth.gov/about/index.html

Major programs operated by the agency

ProgramDescription
more info

*NOTE: Some programs may be jointly operated with other agencies

Organizational chart

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FL Department of Children and Families

From the agency

The mission of the Department of Children and Families is to work in partnership with local communities to protect the vulnerable, promote strong and economically self-sufficient families, and advance personal and family recovery and resiliency. Ch.20.19 F.S.

https://www.myflfamilies.com/about-us/office-secretary/mission-vision-values.shtml

from wiki

The Florida Department of Children and Families (DCF) is a state agency of Florida. Its headquarters are in Room 202 in Building 1 of the 1317 Winewood Boulevard complex in Tallahassee. The department provides social services to children, adults, refugees, domestic violence victims, human trafficking victims, the homeless community, child care providers, disabled people, elderly.[1]
The department was created in 1996 when the Florida Legislature split the former Department of Health and Rehabilitative Services (HRS) into two new departments: DCF and the Florida Department of Health.[2]
The Department operates the 
Florida Civil Commitment Center, in Arcadia.

Community-Based Care[edit]

Community-Based Care is an initiative of DCF to improve its Child Welfare and Foster Care Services by contracting with local not-for-profit social services agencies through a competitive procurement process designed to engage community stakeholders. Its goals are to increase accountability, resource development, local community ownership, and system performance. [3]

Lead Agencies[4][edit]

Region/Circuit

Lead Agency

Website

Northwest

   

1

Lakeview Center, Families First Network

http://www.familiesfirstnetwork.org/FamiliesFirstNetwork/

2,14

Big Bend Community Based Care, Inc.

http://www.bigbendcbc.org

Northeast

   

3,8

Partnership for Strong Families

http://www.pfsf.org

4 (Duval, Nassau)

Family Support Services of North Florida, Inc.

http://www.fssjax.org/

4 (Clay)

Kids First of Florida, Inc.

http://www.kidsfirstofflorida.org/

7 (St. Johns)

St Johns County Board of County Commissioners

http://www.co.st-johns.fl.us/fip

7 (Flagler, Volusia, Putnam)

Community Partnership for Children, Inc.

http://www.communitypartnershipforchildren.org

Suncoast

   

6 (Pasco, Pinellas)

Eckerd Community Alternatives

http://www.eckerd.org/programs-services/system-of-care-management/eckerd-community-alternatives-pasco-pinellas/

12

Sarasota Family YMCA, Inc.

http://www.safechildrencoalition.org/

13 (Hillsborough)

Eckerd Community Alternatives

http://www.eckerd.org/programs-services/system-of-care-management/eckerd-community-alternatives-hillsborough/

20

Children’s Network of SW Florida

http://www.childnetswfl.org/

Central

   

5

Kids Central, Inc.

http://www.kidscentralinc.org/

9, 18 (Orange, Osceola, Seminole)

Community Based Care of Central Florida

http://www.cbccfl.org/

10

Heartland For Children

http://www.heartlandforchildren.org

18 (Brevard)

Brevard Family Partnership

http://www.brevardfp.org/

Southeast

   

15, 17 (Palm Beach, Broward)

ChildNet Inc.

http://www.childnet.us/

19

Devereux Community Based Care, Inc.

http://www.devereux.org/site/PageServer?pagename=cbc_home

Southern

   

11,16 (Dade, Monroe)

Our Kids of Miami-Dade/Monroe, Inc.

http://www.OurKids.us

Last updated May 2021

https://en.wikipedia.org/wiki/Florida_Department_of_Health

http://www.floridahealth.gov/index.html

https://en.wikipedia.org/wiki/Florida_Department_of_Health

Focus of the agency the Agency for Health Care Administration

Major programs operated by the agency

ProgramDescription
more info

*NOTE: Some programs may be jointly operated with other agencies

Organizational chart

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How does Florida Medicaid perform on Quality Measures?

Last updated: April 2021

Note: See also managed care data items for this market for more quality outcomes data

Child and Maternal Quality Measure Data

In federal fiscal year (FFY) 2019, Florida reported 21 of 21 frequently reported health care quality measures in the CMS Medicaid/CHIP Child Core Set.

Source:

https://www.medicaid.gov/state-overviews/stateprofile.html?state=florida

Adult Quality Measure Data

In federal fiscal year (FFY) 2019, Florida reported 18 of 24 frequently reported health care quality measures in the CMS Medicaid Adult Core Set.

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Florida Medicaid Eligibility and Enrollment

Last updated April 2021

How many people are enrolled in Florida Medicaid?

Latest Detailed Enrollment Data File

Who is eligible for Medicaid in Florida?

Most Medicaid eligibility and all CHIP eligibility is based on modified adjusted gross income (MAGI). Income eligibility levels are tied to the federal poverty level (FPL). The following charts provide a more detailed view of Florida’s MAGI-based eligibility levels, expressed as a percentage of the FPL, for several key groups.

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Florida: Recent policy initiatives (including waivers)

Last Updated April 2021

Approved Waivers from CMS

Related: What is a Medicaid waiver and why is it important?

Waiver NameTypeExpiration DateSummary
FL Adults with Cystic Fibrosis1915 (c)06/30/2022Provides community support coordination, homemaker, personal care, respite, adult dental services, physical therapy evaluation, physical therapy, prescribed drugs, respiratory therapy evaluation, respiratory therapy, skilled nursing, specialized medical equipment and supplies, chore, counseling, home delivered meals, massage therapy, nutritional supplements, personal emergency response system maintenance and monitoring, personal emergency response unit for medically fragile individuals ages 18 no max age
FL Developmental Disabilities Individual Budgeting1915 (c)03/31/2024Provides life skills development level 3 – adult day training, residential habilitation, respite, support coordination, adult dental services, occupational therapy, physical therapy, respiratory therapy, skilled nursing, specialized medical equipment and supplies, specialized mental health counseling, speech therapy, transportation, behavior analysis services, behavior assistant services, dietitian services, environmental accessibility adaptations, life skills development level 1 – companion, life skills development level 2 – supported employment, personal emergency response system, personal supports, private duty nursing, residential nursing, special medical home care, and supported living coaching for individuals with autism, intellectual disabilities, and developmental disabilities ages 3 – no max age.

Waiver table incomplete- need to add rest

Recent State Plan Amendments

Related: What is a state plan amendment and why is it important?

SPA #SummaryEffective Date
FL-19-0003Includes the Practitioner reimbursement methodology for services outlined within the State Plan.12/01/2019
FL-20-0007Adjusts reimbursement for Intermediate care facilities for individuals with developmental disabilities (ICF-IID).07/01/2020
FL-20-0005Updates Diagnosis Related Group reimbursement rate methodology for hospital inpatient services.07/01/2020

SPA table incomplete- need to add rest

Other policy initiatives