Medicaid Provider Enrollment Overview

Florida offers 4 Medicaid waiver programs for home care agencies. The state Medicaid program is administered by Florida Agency for Health Care Administration (AHCA). Currently, Florida is actively enrolling new home care providers.

The average enrollment timeline is 120-180 days from initial application to receiving your first client. With high demand for home care services, Florida represents an excellent opportunity for agencies looking to serve Medicaid clients.

Florida Medicaid Waiver Programs

Home care agencies in Florida can enroll in the following waiver programs. Each program serves different populations and has specific service requirements.

1

Statewide Medicaid Managed Care Long-Term Care (SMMC LTC)

1115 Waiver

Managed long-term care program

2

iBudget Florida Waiver

1915(c) Waiver

Services for individuals with developmental disabilities

3

Familial Dysautonomia Waiver

1915(c) Waiver

Services for individuals with familial dysautonomia

4

Cystic Fibrosis Waiver

1915(c) Waiver

Services for individuals with cystic fibrosis

Florida Provider Requirements

To become a Medicaid provider in Florida, your home care agency must meet the following requirements:

  • Florida LLC or Corporation registration
  • Home Health Agency license from AHCA
  • Homemaker/Companion Services registration
  • Level 2 background screening (AHCA)
  • Professional liability insurance
  • Administrator licensure (if applicable)
  • Surety bond

Step-by-Step Enrollment Process

Follow these steps to enroll as a Medicaid waiver provider in Florida:

1

Obtain AHCA Home Health Agency license

2

Apply for NPI

3

Complete Florida Medicaid Provider Enrollment

4

Register in FLMMIS

5

Contract with SMMC LTC managed care plans

6

Complete EVV implementation

7

Pass AHCA survey