Because long-term care is so expensive and accounts for a large proportion of Florida’s Medicaid expenditures, the state transitioned long-term care recipients into a managed care system consisting of eleven regions and various LTCMC plans that serve them.

The plans are operated by private companies, mostly health maintenance organizations (HMOs). Not every plan is available in every part of the state. All of the LTCMC plans must cover certain core services, including adult day care, assisted living facility and nursing facility care, caregiver training, case management, home accessibility adaptation, home-delivered meals, homemaker/chore services, hospice, nursing care, medical equipment and supplies, medication administration and management, personal care, personal emergency response systems, respite care, transportation, and occupational, speech, respiratory, and physical therapy.