Tiers have been approved..........

We have been notified that approval has been given by CMS( Center for
Medicaid and Medicare) for the 2 new waivers. APD was required to develop
this in the last legislation session(SB1124). These additional waivers are
in the planning stage for implementation. This will provide the framework
for the 4 tiers.


Below is the information from the APD website:

The proposed 4 - tiered waiver system
In addition to the changes listed above, the Agency for Health Care
Administration, in consultation with the Agency for Persons with
Disabilities, is required to seek federal approval for two additional
waivers and implement a four-tiered waiver system. The new waiver system
calls for waiver clients to be assigned to one of four "tiers", based on
an assessment of their needs, according to the following criteria:
Tier 1 – Current DD waiver with no cap: Limited to individuals with
intensive medical, behavioral and adaptive needs that cannot be met
in other tiers.
Tier 2 – Capped at $55,000: Limited to clients whose service needs
include a licensed residential facility and greater than five hours
a day of Residential Habilitation as well as clients in supported
living who receive more than six hours of in-home support services
Tier 3 – Capped at $35,000: Will include all individuals who do not
fall into Tier 1 or Tier 2.
Tier 4 – Current FSL waiver with a cap of nearly $15,000: Additional
services may be added to this tier after July 1, 2008.



Marsha Vollmar
Area Administrator
Agency for Persons with Disabilities
Area 8
P.O. Box 60085
Fort Myers, FL 33906
(239) 338-1370
Fax (239) 338-1355