Rule change

New Medicaid home-care waiver option for people who don't need nursing-home level care starts July 1, 2028

The One Big Beautiful Bill Act creates a new 1915(c) waiver option, a type of Medicaid home and community-based services waiver, effective July 1, 2028. Participants do not have to need nursing home level of care. Congress appropriated $50 million in FY 2026 implementation funding for CMS. Florida says it will need to decide whether to seek approval once guidance is released.

Who it covers

Everyone

Official source

ahca.myflorida.com

Checked on

November 12, 2026. We opened the official page and confirmed the wording and every number.

Effective July 1, 2028, this section creates a new 1915(c) waiver option that does not require participants to be subject to a determination that