Adult Care Homes

An adult care home (ACH) provides room, board and supervision to people who require assistance with daily living activities, bridging the gap between independent living and nursing facility care. Adult care homes are not substituted for nursing facilities, but rather another level of care appropriate for those who need assistance with bathing, dressing, ambulation, eating, toileting, and/or medication administration.

Adult care homes are assisted living facilities licensed by the Division of Health Service Regulation and enrolled by the Division of Medical Assistance as a provider of basic or enhanced personal care services and non-emergency medical transportation.

Adult care homes for 2 to 6 beds are called family care homes. Nursing facilities and hospitals may have designated adult care home beds.

Fee Schedules

ACH - Personal Care Services (ACH-PCS) Cost Reports


Request for Services Form-DMA 3051 (Effective 10/01/2013)

Request for Services Form - DMA 3051- Instructions (Effective 10/01/2013)

Adult Care Home FL-2

Adult Care Home Personal Care Physician Authorization and Care Plan

Instructions for Adult Care Home Personal Care Physician Authorization and Care Plan

Quality Improvement Attestation Form (DMA 3136)

Quality Improvement Attestation Form Instructions (DMA 3136)

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