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Chapter: 0200 General Program Information Program: MSSI, SFP 13 3. countable assets must not exceed the limit of $2000 (Individual), $3000 (Couple). 0240.0118 Optional State Supplementation (SFP) Optional State Supplementation (OSS) is a cash assistance program. The purpose of the program is to supplement an individual's income to help pay for community alternative living arrangements and to prevent institutionalization. Alternate living arrangements are assisted living facilities (ALFs), adult family care homes (AFCHs), or mental health residential treatment facilities (MHRTFs). Payment is made directly to the individual who is responsible for paying the provider. An eligible individual must meet all the following criteria:
1. be age 65 or older, or age 18 or older and blind or disabled as defined by Title XVI of the Social Security Act; 2. be living in the State of Florida with the intent to remain; 3. be a United States citizen or a qualified noncitizen; 4. have income within standards established by the Department (refer to Appendix A-11); 5. have assets within Social Security’s SSI standards (refer to Appendix A-11); 6. apply and pursue all other monetary benefits for which they may be entitled or otherwise potentially eligible; 7. be living in a licensed assisted living facility, licensed adult family care home, or licensed mental health residential treatment facility that meets the individual’s needs based on an objective medical and social evaluation and care plan; and 8. be certified by an Adult Services Counselor, Mental Health Counselor, Developmental Services Counselor of their contract providers as being in need of this type of care. 0240.0119 Home Care for the Disabled Adult (SFP) The purpose of the Home Care for the Disabled Adult (HCDA) Program is to encourage the provision of care for the disabled in family-type living arrangements in private homes as an alternative to institutional or nursing home care. The program provides a monthly support and maintenance payment to persons providing home care for the eligible disabled adult.
An additional subsidy is also provided for medical, pharmaceutical, and dental services that are not provided by third party coverage. Although the eligibility specialist determines eligibility, the Adult Services Counselor will actually authorize the payment. To be eligible, an individual must meet all technical criteria as well as the following:
1. Income limit: 300% of SSI Federal Benefit Rate. 2. Asset limit: $2000 (Individual), $3000 (Couple) - living together, both eligible for HCDA.
Special Criteria: Age 60 and older or disabled; must meet appropriate placement criteria as determined by physician and Adult Services staff. (See Chapter 1400 for disability determinations or regarding placement criteria.) 0240.0120 MODIFIED PROJECT AIDS CARE (MPAC) (MSSI, SFP) This is limited coverage for individuals who do not meet the criteria for enrollment in the Statewide Medicaid Managed Care Long Term Care Program. An individual who is diagnosed with the Human Immunodeficiency Virus (HIV)/Acquired Immunodeficiency Deficiency Syndrome (AIDS) and meets the presumptive disability criteria as evidenced by AHCA Form 5000-0607, Acquired Immune Deficiency Syndrome (AIDS), Physician Referral for Individuals at Risk of Hospitalization. All other eligibility criteria must be met to qualify and the individual must not be eligible for another full Medicaid coverage group.