Medicaid LTMC Guide for Broward County Families

Navigating the healthcare system while caring for a loved one with Alzheimer's or dementia can feel overwhelming, especially when it comes to understanding Medicaid Long Term Managed Care (LTMC) in Broward County. This comprehensive guide will help you understand your options and make informed decisions about care funding.

What is Medicaid LTMC in Florida?

Medicaid Long Term Managed Care is Florida's program that coordinates long-term care services for individuals who need assistance with daily activities due to chronic conditions, disabilities, or age-related challenges. In Broward County, this program serves as a vital resource for families managing Alzheimer's disease, dementia, and other memory-related conditions.

The program operates through managed care organizations that work to provide comprehensive, coordinated care while managing costs effectively. Unlike traditional Medicaid, LTMC focuses specifically on long-term care needs and services.

Eligibility Requirements for Broward County Residents

To qualify for Medicaid LTMC in Broward County, your loved one must meet both financial and functional eligibility criteria:

Financial Eligibility

• Income limits: Generally $2,742 per month for individuals (2024 figures)
• Asset limits: $2,000 for individuals, $3,000 for couples
• Exempt assets: Primary residence, one vehicle, personal belongings, and certain other assets

Functional Eligibility

• Need assistance with at least two activities of daily living (bathing, dressing, eating, toileting, transferring, or continence)
• Cognitive impairment requiring supervision or assistance
• Medical necessity as determined by professional assessment

For individuals with Alzheimer's or dementia, cognitive impairment often qualifies them functionally, even if physical limitations are minimal initially.

Services Covered Under LTMC

Medicaid LTMC in Broward County covers a comprehensive range of services designed to help individuals remain in their communities when possible:

Community-Based Services

• Adult day care services - Including specialized memory care programs
• Home health care - Skilled nursing and therapy services
• Personal care assistance - Help with daily activities
• Respite care - Temporary relief for family caregivers
• Transportation - Medical and service-related trips
• Home modifications - Safety improvements and accessibility features

Facility-Based Care

• Nursing home care when community-based services are insufficient
• Assisted living facility services
• Memory care units in licensed facilities

The Application Process

Applying for Medicaid LTMC involves several steps and can take 45-90 days for completion:

Step 1: Initial Application

Submit your application through ACCESS Florida online, by phone at 1-866-762-2237, or at your local Department of Children and Families office in Broward County. You'll need to provide extensive documentation including:

• Social Security cards and birth certificates
• Income verification (Social Security statements, pension documents)
• Asset documentation (bank statements, insurance policies)
• Medical records and physician statements

Step 2: CARES Assessment

If financially eligible, a CARES (Comprehensive Assessment and Review for Long-Term Care Services) evaluation will be scheduled. This assessment determines functional eligibility and appropriate level of care.

Step 3: Plan Development

Once approved, you'll work with a care coordinator to develop a personalized care plan that addresses your loved one's specific needs and preferences.

Managed Care Organizations in Broward County

Broward County residents enrolled in LTMC can choose from several managed care organizations, each offering slightly different provider networks and additional benefits. Research each option carefully to find the best fit for your family's needs.

Key factors to consider when choosing include:

• Provider network quality and accessibility
• Experience with memory care services
• Additional benefits offered
• Care coordination approach
• Member satisfaction ratings

Tips for a Successful Application

To improve your chances of approval and expedite the process:

• Gather documents early: Start collecting required paperwork before applying
• Be thorough: Incomplete applications cause delays
• Keep copies: Maintain copies of all submitted documents
• Follow up regularly: Stay in contact with your caseworker
• Document everything: Keep detailed records of all communications
• Seek help when needed: Consider working with an elder law attorney or social worker

Planning Ahead: The Importance of Early Action

Given the complexity of the application process and potential waiting periods, it's crucial to begin exploring Medicaid LTMC options early in your loved one's diagnosis journey. Many families find that understanding their options before reaching a crisis point leads to better outcomes and less stress.

According to the Alzheimer's Association, the average lifetime cost of care for someone with dementia is $373,527, making programs like Medicaid LTMC essential for most families.

Finding Quality Care While Navigating LTMC

While working through the Medicaid application process, your loved one's care needs don't pause. SarahCare of Coral Springs understands the unique challenges Broward County families face and offers specialized adult day care services designed specifically for individuals with Alzheimer's and dementia. With nearly 20 years of experience and a 1:5 staff-to-participant ratio for memory care, SarahCare provides professional support while you navigate insurance and Medicaid options.

The process of securing Medicaid LTMC coverage may seem daunting, but remember that you're not alone in this journey. Professional guidance can make a significant difference in both the application process and your loved one's quality of care. If you're exploring care options in Broward County while working through Medicaid applications, consider reaching out to SarahCare of Coral Springs at (954) 743-0003 to learn about their specialized services and free 1-day trial program.