Mandatory Minimum Supplementation
Optional State Supplementation
Administration: State Department of Children and Families.
Effective date: January 1, 1974.
Statutory basis for payment: Florida Statutes, chapter 409.212.
Administration: State funds.
Assistance: State funds.
Passalong method: Maintaining payment levels.
Place of application: Local offices of the state Department of Children and Families.
Scope of coverage: Under the community care programs, an optional state supplement is provided to all aged, blind, or disabled persons who either receive SSI payments or have been grandfathered because they meet all SSI criteria except for income. Income may not exceed $681.40.
Resource limitations: Federal SSI regulations apply.
Income exclusions: Federal SSI regulations apply.
Recoveries, liens, and assignments: Amount of public assistance received after August 31, 1967, creates a debt against the estate of the aged, blind, or disabled recipient, and the state can file a claim after death. Homestead is exempt during the life of a spouse or dependent children if occupied as a homestead. Claims are filed against the estate of individuals who received Medicaid on or after their 55th birthday.
Financial responsibility of relatives: None.
Interim assistance: State participates.
Payment calculation method: The recipient's gross monthly countable income is subtracted from the sum of the standard provider rate and the personal needs allowance. The difference, up to $78.40, is the state optional payment amount.
Payment levels: See Table 1.
|Living arrangement||Combined federal and state||State supplementation|
|Community care programs|
|Adult family care home a||681.40||b||78.40||b|
|Assisted living facility||681.40||b||78.40||b|
|Medicaid facility c||35.00||70.00||5.00||10.00|
|SOURCES: Social Security Administration, Office of Income Security Programs; state information.|
|a. Payments include $54 personal needs allowance. Recipients who lose SSI eligibility because of Social Security (Title II) benefit increases may continue to be eligible for state supplementation if they reside in a specific living arrangement and have income below income limits.|
|b. Couples are treated as two individuals the month after leaving an independent living arrangement.|
|c. Community providers enrolled to provide assistive care services can receive an additional payment from Medicaid recipients residing in their facilities.|
Number of recipients: See Table 2.
|Community care programs|
|Adult family care home||378||112||0||266|
|Assisted living facility||8,610||3,502||2||5,106|
|SOURCE: State information.|
|NOTE: Includes certain grandfathered, non-SSI recipients who meet state eligibility criteria.|
State Assistance for Special Needs
State does not provide assistance for special needs.
Criteria: SSI program guidelines (Title XVI).
Determined by: Social Security Administration.
Medically Needy Program
State provides a program for the aged, blind, and disabled medically needy.
Unpaid Medical Expenses
The Social Security Administration does not obtain this information.