A primary goal of the agency is to improve the quality of life for persons with developmental disabilities by helping them to live and work in the most integrated setting possible in their community and avoid institutional placement. To accomplish this goal, the agency administers an individual budget (iBudget
) system. In addition, consumers are offered the
Consumer-Directed Care Plus program option,
which allows them to direct their own care and develop a purchasing plan to manage their allocated monthly budgets to meet long-term care needs.
system, as described in s. 393.0662
, Florida Statutes
, was established in order to provide clients and their families
flexibility to choose the services that best allow them to live in their community within the limits of an established budget and also to improve financial management of the waiver program.
system uses an algorithm allocation and methodology to provide individual budgets for clients enrolled in the Home and Community-Based Services Medicaid waiver program.
Under the iBudget
system, waiver services are grouped in eight service families. In order to enhance client choice and flexibility, the iBudget
system allows clients to shift funds in order to make service changes within and across certain service families. Changes for specific service families require APD area office review before funds can be shifted to other services. In addition, the iBudget
system allows a client who spends less than anticipated funds on services during one quarter to carry those funds forward to the next quarter and apply them to other services. Funds may not be carried forward to the next fiscal year.
system allows the state to receive federal Medicaid matching payments for services provided to developmentally disabled persons in the community. Because there are not enough home and community-based services waiver slots to serve all eligible persons, the agency maintains a waitlist of individuals who have requested services. As of June 2019, the agency reported 21,661 individuals requesting enrollment in a waiver that could not be enrolled. During Fiscal Year 2017-18, 193 individuals with critical needs on the waitlist the opportunity to enroll in the APD Home and Community-Based Services Medicaid waiver and receive services in their local communities.