Medicaid, Long-Term Care, and Guardian Advocacy Law – Gainesville, Florida

My practice is focused on the special care needs of persons with disabilities and the elderly, with emphasis on helping clients receive services that allow them to remain as independent as possible, in the home or the community. Much of my work involves the complex and varied programs offered through Medicaid. 

My legal advocacy has included successful administrative hearings, rule challenges, state court appeals and federal lawsuits under both the Medicaid Act and the Americans with Disabilities Act. I have co-counseled with statewide advocacy organizations in federal actions challenging both the Agency for Persons with Disabilities and the Agency for Health Care Administration in their operation of Medicaid Waiver programs. 

Navigating the health care labyrinth can be daunting. I can help you with:

  • Home health care services for children with complex medical needs
  • Administrative advocacy with Agency for Health Care Administration, Department of Children and Families, Agency for Persons with Disabilities, or Department of Elder Affairs
  • Service problems with the Medicaid managed care organizations (e.g., United Healthcare, Sunshine Health, or Children’s Medical Services Network) for either Long Term Care or Managed Medical Assistance
  • Eligibility for and receipt of adequate home and community-based services for persons with disabilities or the elderly through any of Florida’s Medicaid Waiver programs

Click on the topic links under Practice Areas for a general overview of Medicaid, the Developmental Disabilities Medicaid Waiver, the Long-Term Care Medicaid Waiver, Special Education and Guardian Advocacy (and less restrictive alternatives.) Until further notice, I will not be taking any new special education clients.

By limiting my practice to these areas I have cultivated working relationships with service providers, agency and school district personnel, disability experts, and advocates within the disability rights and elder law community.  I have also developed a deep appreciation for my clients and their caregivers and an awareness of the obstacles they face.  

If you need assistance in any of these areas, please contact me to schedule a consultation.  The initial consultation, up to 30 minutes, is free. The purpose of the consultation is limited to acquiring an understanding of the problem and whether legal assistance might be helpful.  

News In Brief:

Medicaid Long-Term Care (LTC) Program: In Florida, the Medicaid LTC Program is administered by private managed care organizations. The LTC Program covers both nursing home residents and people who qualify for nursing home care but choose instead to receive home and community-based services. The home care part (known as the LTC Waiver) has a capped enrollment, so participants must contend with a waiting list.  The LTC Waiver has seen some big changes in the last year, including:

  • Adoption of a LTC Program Coverage Policy — rules that apply to assessment and eligibility for the services needed to remain in the home or community setting.
  • New statutory and rule provisions that set out the waiting list priorities, and the requirements for notice of priority.
  • Expansion of the program to include several other Medicaid Waiver Programs, including Traumatic Brain & Spinal Cord Injury, Adult Cystic Fibrosis, and Project Aids Care.

UF Health Shands Senior Medical-Legal Partnership: Under a grant from the Department of Elder Affairs, I am excited to be working with Three Rivers Legal Services to implement and direct a Medical-Legal Partnership with UF Health Shands. The project targets elderly (aged 60 and up), low income patients who may have civil legal problems that interfere with health. These could range from denial of necessary health benefits to substandard housing to financial exploitation. All referrals for the Senior MLP will be from the healthcare partner, UF Health Shands, and will not be through my private practice. For more information on this innovative model, check out the National Center for Medical Legal Partnerships

 

Comments are closed.