On August 21, 2025, Florida submitted an amendment to the Florida Managed Medical Assistance (MMA) section 1115(a) demonstration. The state is proposing to disregard the income a trained family caregiver, known as a family home health aide (FHHA), receives for providing care to their medically fragile child through the state's FHHA Services Program so it does not impact a child's Medicaid eligibility determination. The state is also proposing to allow private duty nursing specialty providers to participate in the FHHA Services Program as a home health agency that trains, employs, and oversees FHHAs. The federal comment period will be open from September 9, 2025 through October 9, 2025.
