Long Term Care Program

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The Long Term Care Program is sponsored by the Agency for Health Care Administration (AHCA). The program is offered by Coventry Health Care of Florida, a Health Maintenance Organization (HMO). This program is designed to help you continue to live in your home and community.

Through this program you will have your own Case Manager to help coordinate the acute, social and long-term care services you need. The Case Manager, in working with your health care providers, puts together a plan of care that best meets your care needs. When selecting a provider for the services offered by Coventry Health Care of Florida, you must choose a provider from the Coventry Health Care of Florida network.

For more information on this program, call 1-844-645-7371, TTY 711

MMA members : call Member Services at 1-800-441-5501.

View the list of services covered by the Long Term Care plan here

Secure Member Website

Get the most out of your health plan. Sign up for our personalized, secure member website. You can use the site to manage your plan benefits and meet your health goals. The site lets you:

  • Change your doctor
  • Update your contact information
  • Get a new member ID card
  • View your personal health history
  • See the status of your claim

Sign up today. It’s easy.

If you're ready to start using this secure online tool, you can register online or you can sign up over the phone by calling Member Services at 1-844-645-7371, TTY 711.

Keep in mind you'll need your health plan member ID and a current e-mail address to create an account.

Enrollment and Eligibility

The State will send Medicaid recipients a letter notifying them as to whether or not they are required to enroll in the Statewide Medicaid Managed Care (SMMC) Long-term Care (LTC) program. In general, the criteria outlined below will determine whether a recipient is required to enroll or not required but may choose to enroll:

Required to Enroll:

  • 65 years of age or older AND need nursing facility level of care
  • 18 years of age or older AND are eligible for Medicaid by reason of disability AND need nursing facility level of care
  • Individuals enrolled in the Aged and Disabled Adult (A/DA) Waiver
  • Individuals who are enrolled in the Assisted Living Waiver
  • Individuals who are enrolled in the Nursing Home Diversion Waiver
  • Individuals who are enrolled in the Frail Elder Option

Not required
but may choose to enroll:
  • Developmental Disabilities Waiver program
  • Traumatic Brain & Spinal Cord Injury (TBI) Waiver
  • Project AIDS Care (PAC) Waiver
  • Adult Cystic Fibrosis Waiver
  • Program of All-Inclusive Care for the Elderly (PACE)
  • Familial Dysautonomia Waver
  • Model Waiver

For more information on Enrolment and Eligibility, please refer to the member handbook. It is available in English and Spanish for your convenience.


Expanded Benefits


Dental Services

Coverage for semi-annual dental cleaning and preventive care visits

Over-the-Counter Medications/Supplies

$15 per month for over-the-counter (OTC) medications and supplies, including allergy medications, pain relievers, and vitamins.

Vision Services

Coverage for a new set of eyeglasses frames/lenses once a year

Support to transition out of a Nursing Facility
After attempting to help You find other funding, the Plan will provide up to $250 per year to help You stay in the community or return to the community.
***This Expanded Benefit is limited to a maximum of $250.00 per eligible enrollee per year and can be utilized in conjunction with Emergency Financial Assistance; however, the total amount for both Expanded Benefits shall not exceed $250.00 cumulatively.

Cellular Phone Service
Prepaid phones will be provided during Your membership in this program. Replacement phones will be limited to 1 every 2 years

Emergency Meal Supply
An emergency supply of 10 meals will be provided when there is an emergency such as a hurricane or other disaster or emergency situation

Emergency Financial Assistance

After attempting to help You find other funding, the Plan will provide up to $250 per year to help You stay in the community or return to the community.
***This Expanded Benefit is limited to a maximum of $250.00 per eligible enrollee per year and can be utilized in conjunction with Emergency Financial Assistance; however, the total amount for both Expanded Benefits shall not exceed $250.00 cumulatively.

Pill Organizer - a 7 day pill organizer


Counties Served

Long Term Care Program
Available in the following counties on these effective dates:
August 1st, 2013
Region 7
Brevard, Orange, Osceola, Seminole
September 1st, 2013
Region 9
Indian River, Martin, Okeechobee, Palm Beach, St.Lucie
December 1st, 2013
Region 11
Miami-Dade, Monroe
February 1st, 2014
Region 6
Hardee, Highlands, Hillsborough, Manatee, Polk

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