How to Enroll in LTC
Comprehensive Long-Term Care (LTC)
Sunshine Health’s Comprehensive Long Term Care Program helps members live independently and “age in place” for as long as possible in the comfort of their own home or community setting.
Through this program, LHANC can facilitate comprehensive physical and behavioral health services and support for Medicaid enrollees ages 18 and older who meet a Nursing Facility level of care.
This does not mean you have to live in a nursing home. Whenever possible, we provide the long-term services and support needed to help you remain safely in your community. We also assist members who are currently in a nursing facility with a smooth transition back to a home setting of their choice.
Little Havana Activities & Nutrition Centers of Dade County, Inc. ("LHANC") is a TPA-licensed vendor for Sunshine Health
How to Enroll in LTC Program
The SMMC Long-Term Care (LTC) program provides nursing facility services and home and community-based care to elders and adults (ages 18 years and older) with disabilities. Home and community-based services help people stay in their homes, with services like help with bathing, dressing and eating; help with chores; help with shopping; or supervision.
We pay for services that are provided at the nursing facility. If you live in a Medicaid nursing facility full time, you are probably already in the LTC program. If you don’t know, or don’t think you are enrolled in the LTC program, call Sunshine Health's Member Services for assistance.
The Long-Term Care (LTC) program also offers services to individuals living at home. However, availability for these in-home services is limited. Before receiving services, you must complete a screening, which involves answering questions about your health and daily needs. These screenings are conducted by the Department of Elder Affairs’ Aging and Disability Resource Centers (ADRCs).
After your screening, the ADRC will inform you of your placement on the waitlist or provide alternative resources if you are not added. If you are placed on the waitlist and a slot becomes available, the Department of Elder Affairs’ Comprehensive Assessment and Review for Long-Term Care Services (CARES) program will conduct a more detailed review to confirm that you meet the medical eligibility requirements.
Once enrolled in the LTC program, your eligibility will be reviewed annually to ensure you continue to meet all program requirements.
You can find the phone number for your local ADRC on the Planning & Service Area (PSA) list below:
- Area Agency on Aging of Palm Beach/Treasure Coast
4400 N. Congress Ave., West Palm Beach, FL 33407
(561) 684-5885 - Aging and Disability Resource Center of Broward County, Inc.
5300 Hiatus Road, Sunrise, FL 33351
(954) 745-9567 - Alliance for Aging, Inc.
760 NW 107th Ave., Ste. 214, 2nd Floor, Miami, FL 33172
(305) 670-6500
To become an LTC member, the following steps must be completed prior to selecting a LTC Plan:
1. Screening
2. Eligibility
3. Enrollment
Don't Forget to Renew Each Year
Recertify your Medicaid coverage every 12 months to keep your benefits.
For assistance with Medicaid Recertifications, click below to contact our Medicaid Recertification Specialist.
Visit the Florida Department of Children and Families to sign up for email reminders.
Enroll in Sunshine Health
Call a Choice Counselor toll-free at 1 (877) 711-3662 (TTY 1 (866) 467-4970) or enroll online at FLMedicaidManagedCare.com. To enroll, you must have the Florida Medicaid number or Social Security number and date of birth for each person you wish to enroll.
Reminder: Be sure to contact ltcreferrals@lhanc.org to request assignment to Little Havana Activities & Nutrition Centers of Dade County, Inc. ("LHANC")