Alzheimer's Disease Initiative. Respite care is available for individuals who are diagnosed or suspected of having a memory loss and caregivers of adults who have been diagnosed with Alzheimer's Disease or a related disorder. Individuals of any age suspected of having a memory disorder may request diagnostic evaluations in a Memory Disorder Clinic. Individuals of any age, with or without a diagnosed memory disorder, are eligible to sign up for the ADI Brain Bank.
Community Care for the Elderly. Individuals must be age 60 or older and functionally impaired, as determined by an initial comprehensive assessment and annual reassessments. Primary consideration for services is given to elders referred to Department of Children and Families’ Adult Protective Services (APS) and determined by APS to be victims of abuse, neglect, or exploitation and in need of immediate services to prevent further harm.
Home Care for the Elderly. Individuals must be age 60 or older, meet the Medicaid Institutional Care Program (ICP) asset and income limitations, be at risk of nursing home placement, and have an approved adult caregiver living with them who is willing and able to provide or help arrange for care.
Alzheimer's Disease Initiative. This initiative is a coordinated, comprehensive plan of care and, in conjunction with a 15-member advisory committee appointed by the Governor, is made up of three program components.
Community Care for the Elderly. This program provides a wide variety of home and community-based services for elders, including adult day care, case management, chore assistance, counseling, home-delivered meals, home health aide, legal assistance, personal care, respite, and transportation.
Home Care for the Elderly. This program provides a basic subsidy for most program participants. Some participants receive special subsidies that can be used for incontinence supplies, medications, medical supplies, wheelchairs, assistive devices, ramps and home accessibility modifications, nutritional supplements, home health aide, home nursing, and other services to help maintain the individual at home. The program provides formal case management when necessary.
For more information about services provided by the ADI, CCE, and HCE programs, please see the department's Summary of Programs and Services.
The department provided state-funded home and community-based services to the following numbers of seniors.
Home and Community-Based Services Provided in Fiscal Year 2020-21 | |||
---|---|---|---|
Service | Numbers of Seniors Served | ||
ADI - Respite and Supportive Services | 9,357 | ||
ADI - Memory Disorder Clinic Services | 13,249 | ||
ADI - Registered With the Brain Bank | 41 | ||
Community Care for the Elderly | 49,429 | ||
Home Care for the Elderly | 4,797 |
In Fiscal Year 2020-21, the average time a client received Community Care for the Elderly (CCE) services before enrolling in the Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) program was 3.6 months. This did not meet the department's performance standard of 2.8 months.
The number of older adults served under SMMC LTC is based on the availability of capacity with priority given to those with the highest priority score. Currently, the SMMC LTC program is only serving the frailest Medicaid eligible individuals, resulting in less-frail older adults receiving CCE services for longer periods of time. Therefore, some clients may remain in CCE for longer than the standard of 2.8 months.
Fund | Salary Rate/ Position | General Revenue | Trust Funds | |
---|---|---|---|---|
SALARY RATE | ||||
POSITIONS | ||||
SALARIES AND BENEFITS | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
OTHER PERSONAL SERVICES | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
EXPENSES | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
OPERATING CAPITAL OUTLAY | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
AGING AND ADULT SERVICES TRAINING AND EDUCATION | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
GRANTS AND AIDS - ALZHEIMER'S DISEASE INITIATIVE | ||||
FROM GENERAL REVENUE FUND | ||||
SPECIAL CATEGORIES | ||||
GRANTS AND AIDS - COMMUNITY CARE FOR THE ELDERLY | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
GRANTS AND AIDS - HOME ENERGY ASSISTANCE | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
GRANTS AND AIDS - OLDER AMERICANS ACT PROGRAM | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
CONTRACTED SERVICES | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM GRANTS AND DONATIONS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
GRANTS AND AIDS - CONTRACTED SERVICES | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
RISK MANAGEMENT INSURANCE | ||||
FROM GENERAL REVENUE FUND | ||||
SPECIAL CATEGORIES | ||||
CORONAVIRUS (COVID-19) - PUBLIC ASSISTANCE - STATE OPERATIONS | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
LEASE OR LEASE-PURCHASE OF EQUIPMENT | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
SPECIAL CATEGORIES | ||||
TRANSFER TO DEPARTMENT OF MANAGEMENT SERVICES - HUMAN RESOURCES SERVICES PURCHASED PER STATEWIDE CONTRACT | ||||
FROM GENERAL REVENUE FUND | ||||
FROM FEDERAL GRANTS TRUST FUND | ||||
FROM OPERATIONS AND MAINTENANCE TRUST FUND | ||||
GRANTS AND AIDS TO LOCAL GOVERNMENTS AND NONSTATE ENTITIES - FIXED CAPITAL OUTLAY | ||||
GRANTS AND AIDS - SENIOR CITIZEN CENTERS | ||||
FROM GENERAL REVENUE FUND | ||||
TOTAL |
173,710,656 |
211,830,839 |
Waitlist Funding. The 2022 Florida Legislature appropriated $9 million to serve elders on the CCE program waitlist, as well as $12 million for Alzheimer's respite care services to serve individuals on the waitlist.
Other Reports
Alzheimer's Disease State Plan 2020, Department of Elder Affairs
Reports, Department of Elder Affairs
Websites of Interest
Alzheimer's Research Forum
Alzheimer's Disease Education and Referral Center
Caregiver Action Network
Personal Assistance Services
Home and Community Based Services Clearinghouse
Performance Information
Florida Department of Elder Affairs, Bureau of Community and Support Services, 850-414-2073
Elder Helpline, 1-800-963-5337 or 1-800-955-8771 for TDD or 1-800-955-8770 for voice