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Article: How to get Medicare and Medicaid to Pay for Assisted Living

Heritage Healthcare Center

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Description

Located in Tallahassee, Florida, Heritage Healthcare Center is a premier assisted living community known for its commitment to excellence and compassion to senior residents. With a focus on personalized care and residents’ autonomy, the facility embraces a partnership approach between residents and caregivers throughout their healthcare journey. 
Their dedicated team of experienced staff goes the extra mile to ensure an exceptional experience by fostering a compassionate environment that upholds and respects the unique needs of seniors. At Heritage Healthcare Center, personalized care and resident choice are at the heart of their mission.

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Claim What’s Yours: Financial Aid for Florida Seniors

Program
State Program Name
Eligibility
Benefits
Long-Term Care Waiver
Florida Medicaid LTC Waiver
  • General: Age 65+ or 21+ disabled, Florida resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: High demand; waitlists common.
  • Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.
Community Care for the Elderly (CCE)
Florida CCE
  • General: Age 60+, Florida resident, at risk of nursing home.
  • Income Limits: ~$2,000/month (varies).
  • Asset Limits: $5,000 (individual).
  • FL Specifics: Limited funding; regional variation.
  • Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).
Home Care for the Elderly (HCE)
Florida Home Care for the Elderly
  • General: Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
  • Income Limits (2025): ~$2,829/month (individual, aligned with Medicaid thresholds).
  • Asset Limits: ~$2,000 (individual); varies by case manager discretion.
  • FL Specifics: Limited funding (~3,500 served annually); prioritizes low-income frail seniors.
  • Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).
Program of All-Inclusive Care for the Elderly (PACE)
Florida Medicaid PACE
  • General: Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy.
Optional State Supplementation (OSS)
Florida Optional State Supplementation
  • General: Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
  • Income Limits (2025): ~$1,004/month (individual, including SSI).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific facility types; ~$78.40/month max supplement.
  • Services: Cash payment (~$78.40/month) for room/board or personal needs in facilities.
Senior Community Service Employment Program (SCSEP)
Florida SCSEP (federally funded, state-administered)
  • General: Age 55+, unemployed, low-income, Florida resident.
  • Income Limits (2025): ~$1,983/month (125% FPL, individual).
  • Asset Limits: Not specified; income-focused.
  • FL Specifics: Priority for veterans, rural residents; ~1,000 slots/year.
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.

Claim What’s Yours Financial Aid for Florida Seniors

Florida Medicaid LTC Waiver

Long-Term Care Waiver

Eligibility
  • General: Age 65+ or 21+ disabled, Florida resident, Medicaid- eligible, nursing home-level care need.
  • Income Limits (2025): ~$2,829/month (300% FBR, individual).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: High demand; waitlists common.
Benefits
  • Services: In-home care (6-8 hours/day), assisted living, respite (240 hours/year), case management.
Florida CCE

Community Care for the Elderly (CCE)

Eligibility
  • General: Age 60+, Florida resident, at risk of nursing home.
  • Income Limits: ~$2,000/month (varies).
  • Asset Limits: $5,000 (individual).
  • FL Specifics: Limited funding; regional variation.
Benefits
  • Services: Homemaker services (3-5 hours/week), adult day care (~$60/day), respite (up to 10 days/year).
Florida Home Care for the Elderly

Home Care for the Elderly (HCE)

Eligibility
  • General: Age 60+, Florida resident, at risk of nursing home placement; caregiver must be approved.
  • Income Limits (2025): ~$2,829/month (individual, aligned with Medicaid thresholds).
  • Asset Limits: ~$2,000 (individual); varies by case manager discretion.
  • FL Specifics: Limited funding (~3,500 served annually); prioritizes low-income frail seniors.
Benefits
  • Services: Basic subsidy (~$160/month) for housing/medical costs; special subsidies for supplies/services (e.g., incontinence supplies, ~$50-$200/month).
Florida Medicaid PACE

Program of All-Inclusive Care for the Elderly (PACE)

Eligibility
  • General: Age 55+, Florida resident, nursing home-level care need, safe with PACE support.
  • Income Limits (2025): ~$2,829/month (300% FBR).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific counties (e.g., Hillsborough, Miami-Dade); ~10 sites statewide.
Benefits
  • Services: Personal care (5-7 hours/day), medical care, meals, transportation, therapy.
Florida Optional State Supplementation

Optional State Supplementation (OSS)

Eligibility
  • General: Age 65+ or disabled, Florida resident, living in approved facility, receiving SSI or low-income.
  • Income Limits (2025): ~$1,004/month (individual, including SSI).
  • Asset Limits: $2,000 (individual), $3,000 (couple).
  • FL Specifics: Limited to specific facility types; ~$78.40/month max supplement.
Benefits
  • Services: Cash payment (~$78.40/month) for room/board or personal needs in facilities.
Florida SCSEP (federally funded, state-administered)

Senior Community Service Employment Program (SCSEP)

Eligibility
  • General: Age 55+, unemployed, low-income, Florida resident.
  • Income Limits (2025): ~$1,983/month (125% FPL, individual).
  • Asset Limits: Not specified; income-focused.
  • FL Specifics: Priority for veterans, rural residents; ~1,000 slots/year.
Benefits
  • Services: Paid training (~20 hours/week at ~$7.25/hour), job placement.
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Community
Occupancy
Beds
Medicare Nights
Medicaid Nights
Free Market Days
Home Revenue
Payroll Costs
Home Costs
Owner
CCN
CONSULATE HC OF TALLAHASSEE
81.58%
120
2324
26505
5280
$13,486,773.00
$3,934,977.00
$7,561,321.00
PHILLIPS PARENT LLC
0105764
WESTMINSTER OAKS
91.00%
120
5947
11976
23334
$18,755,362.00
$13,937,205.00
$27,965,868.00
BOGNER, JAMES
0105854
HERITAGE HEALTHCARE CENTER
77.06%
180
3701
42410
9178
$22,492,161.00
$5,947,756.00
$9,711,285.00
GINGER PARENT LLC
0105433
PRUITTHEALTH - SOUTHWOOD LLC
87.03%
101
6460
19299
8185
$14,206,232.00
$5,968,228.00
$8,411,778.00
PRUITTHEALTH-NORTH CENTRAL FLORIDA,LLC
0106140
MIRACLE HILL NURSING AND REHAB
89.33%
120
1449
21749
2382
$14,652,283.00
$7,810,964.00
$9,769,396.00
INGRAM, SPENCER
0105810
SEVEN HILLS HEALTH & REHAB CENTER
93.91%
156
6204
27763
11936
$18,034,109.00
$6,749,625.00
$9,335,382.00
REID, MARY
0105364
CENTRE POINT HEALTH & REHAB CENTER
93.57%
140
11451
19456
14518
$22,572,664.00
$8,645,666.00
$9,668,363.00
HENSLEY, KRISTEN
0105563
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