Florida Respite Care for Family Caregivers (2026)

Florida has no single statewide application for respite care, so family caregivers assemble it themselves from ten separate funding rails, none of which connect to each other. The family member doing the caregiving runs out of energy long before the older adult runs out of need, and there is no one form that solves that. This guide is the inventory: every federal, state, Medicaid, Medicare, VA, and private respite stream available to Florida caregivers in 2026, with dollar figures, day caps, statutory citations, and the phone line that opens each door. The call that screens the most respite programs at once is the Florida Elder Helpline at 1-800-963-5337, which intakes for four rails in one conversation.

What Respite Care Means for a Florida Caregiver

Respite is the umbrella term for any service that gives the primary unpaid caregiver, most often an adult child, spouse, or kinship caregiver, a temporary break from the day-to-day work of caregiving while the older adult continues to receive safe, appropriate care. In Florida, respite arrives in five formats:

1. In-home respite: a paid worker, agency aide, nurse, or trained volunteer comes to the home for a defined number of hours so the family caregiver can leave, sleep, or take a day off
2. Adult day care: the older adult attends a state-licensed adult day care center for the day, with structured activities, meals, and supervision
3. Short-term residential respite: the older adult stays for a few days to a few weeks at a participating assisted living facility, adult family care home, or nursing facility
4. Inpatient hospice respite: the older adult, who must be enrolled in Medicare hospice, stays on a short-term basis at a Medicare-certified inpatient facility
5. VA-administered respite: for veterans, a separate set of in-home, adult day, and nursing-home respite mechanisms operated through VA Medical Centers

The funding follows the format. Some programs pay for one format only (Medicare hospice respite is inpatient-only); others pay for several. Almost all of them carry anti-duplication rules, meaning a single hour or day of respite can only be billed to one funding source.

The Florida Respite Care Funding Map: Ten Rails

There are ten distinct funding rails for respite in Florida. Five are federal; five are state, Medicaid, or private1:

Florida is absent from one major federal respite rail: the Lifespan Respite Care Program. The Administration for Community Living has awarded Lifespan Respite grants to 39 states plus the District of Columbia since 2009, and Florida is not among them1. The cross-state voucher infrastructure those grants build does not exist in Florida; the substitute is NFCSP plus ADI, both documented below.

The rest of this guide walks each rail in priority order: the easiest wins first, then the dementia-specific rails, the veteran rails, the Medicaid rail, and finally the private gap-fill.

Rail 1: NFCSP / OAA Title III-E, the Federal Default

The National Family Caregiver Support Program (NFCSP) is the broadest federal respite stream and the one most Florida families encounter first. It sits at 42 USC §§3030s through 3030s-2 under the Older Americans Act (OAA) Title III, Subtitle E.

What NFCSP Covers

Under 42 USC §3030s-1, every Title III-E-funded Area Agency on Aging must offer five mandated service categories: information about available services, assistance in gaining access to services, individual counseling and support-group organization and caregiver training, respite care, and supplemental services on a limited basis1. Respite care is the focus of this guide; supplemental services can include transportation, home modifications, and consumable supplies.

Who Qualifies for NFCSP

Two populations are covered. The first is family caregivers age 18 and older providing in-home or community care to an individual 60 or older, or to an individual of any age with Alzheimer's disease and related disorders1. The second is older relative caregivers age 55 and older providing care to a child under 18, or to an adult with a disability.

Being in the first population is not by itself enough to reach the respite money. Respite care and supplemental services, categories 4 and 5 of the five, carry a condition the other three do not: under 42 USC §3030s-1(c)(1)(B), a family caregiver reaching those two services must be caring for an older individual who meets the condition specified in subparagraph (A)(i) or (B) of 42 USC §3002(22)1. A care recipient who is simply 60 or older does not automatically open the respite rail, so ask the AAA at intake to confirm that condition is met before you build a schedule around Title III-E respite hours. The Older Americans Act gives states priority direction to serve caregivers of older individuals with dementia, and the 2020 reauthorization broadened flexibility for grandparent and kinship caregivers.

How Florida Delivers NFCSP Respite

Florida runs NFCSP through the Florida Department of Elder Affairs (DOEA), 11 Area Agencies on Aging (AAAs), and their contracted lead agencies. There is no statewide standard for voucher amount, hour cap, or service mix. Each AAA decides, within federal-allocation constraints, whether to deliver respite as caregiver-directed vouchers, as contracted bed reservations at participating facilities, or as a hybrid. There is also no statewide annual per-caregiver cap; AAAs set local caps.

How to Apply for NFCSP Respite

One number: the Florida Elder Helpline at 1-800-963-5337 (1-800-96-ELDER)1. It routes by ZIP code to the AAA covering the older adult's county. From intake to first respite hour typically takes one to eight weeks depending on AAA capacity: first the assessment, then provider matching, then service start. Ask the AAA for its published Title III-E voucher schedule in writing at intake so you know the local rules.

NFCSP is funded through OAA Title III-E, and Florida is consistently among the larger state allocations under the OAA intrastate funding formula. Because the exact federal appropriation shifts each budget cycle, treat the program as funded but capacity-limited, and apply early.

Rail 2: Florida's Alzheimer's Disease Initiative (ADI), the State Dementia Engine

The Alzheimer's Disease Initiative (ADI) is Florida's largest state-funded respite stream for families with a confirmed dementia diagnosis. It is authorized in Chapter 430, Part V, Florida Statutes, administered by DOEA, and delivered through the 11 AAAs3.

What ADI Covers

ADI funds three respite modalities: in-home respite, facility-based respite, and adult day care respite1. Facility-based residential respite is typically delivered at a participating assisted living facility or memory-care community. In-home respite hours are set by the care plan rather than by a statewide statutory cap, so the authorized amount varies with caregiver burden and available funding.

Who Qualifies for ADI

ADI is open to Florida residents with a confirmed Alzheimer's disease or related dementia (ADRD) diagnosis3. The diagnosis can come from a primary-care physician, a neurologist, or one of Florida's roughly 17 Memory Disorder Clinics, the statewide MDC network established under §430.502 F.S. Families may pay a co-pay set by the local AAA based on income, but there is no hard income or asset cutoff for eligibility.

The ADI Waitlist

Rail 3: Project R.E.L.I.E.F., the Volunteer-Based In-Home Arm

Project R.E.L.I.E.F. (Respite for Elders Living in Everyday Families) is the volunteer-based in-home respite arm of ADI1. It is one of the least-used respite resources in Florida, and free to qualifying families.

How It Works

Volunteers are trained, screened, and individually matched to a family. They provide a set number of hours per visit, including evenings and weekends. Volunteers receive a service stipend plus mileage and expense reimbursement, which helps recruit and retain volunteers in low-income areas.

Where It's Available

Statewide via the 11 AAAs, but county-level coverage is genuinely uneven. Some counties have active R.E.L.I.E.F. coordinators with full volunteer rosters and same-week match capability; others have very limited or no current volunteer base. Central Florida operates an independent Project R.E.L.I.E.F. operation covering Brevard, Lake, Orange, Osceola, and Seminole counties.

How to Request Project R.E.L.I.E.F.

Same Elder Helpline call: 1-800-963-53371. The intake specialist routes the family to the local AAA, which routes to the R.E.L.I.E.F. coordinator. The most useful question to ask at intake is whether your county currently has an active Project R.E.L.I.E.F. coordinator with available volunteers, because if the answer is no, you can move straight to paid-worker respite instead of waiting on a volunteer match.

Rail 4: The CMS GUIDE Model for Dementia Families on Original Medicare

The Centers for Medicare & Medicaid Services launched the CMS GUIDE Model (Guiding an Improved Dementia Experience) on July 1, 2024, as an 8-year alternative payment demonstration running through June 30, 20323. For dementia families on Medicare fee-for-service, GUIDE has no waitlist, no income test, and no Florida state-budget exposure.

The Respite Benefit

Who Qualifies for GUIDE

GUIDE eligibility requires Medicare Parts A and B fee-for-service enrollment, a dementia diagnosis, no concurrent hospice election, no long-stay nursing-home residence, an identified caregiver, and attribution to a participating GUIDE practice3. Medicare Advantage enrollees are not eligible, which is the single most common disqualification.

There is no national consumer portal for GUIDE. Families locate a participating practice through the CMS Innovation Center participants list and ask the practice to enroll the beneficiary. Because CMS lets the participant roster change during the performance period, verify current Florida participation directly on the CMS Innovation Center participants page rather than assuming a practice is enrolled.

The Care Navigator

Each GUIDE-enrolled beneficiary is assigned a care navigator at the participating practice3. The navigator vets respite providers, schedules the service, processes the CMS billing, and counts each respite hour or day against the annual respite ledger. Request services through the navigator rather than paying a respite agency directly.

Rail 5: Medicare Hospice Inpatient Respite, 5 Days, Inpatient, Per Benefit Period

Families consistently expect the Medicare hospice benefit's respite to be in-home care that gives the caregiver a break. It is not. Medicare hospice respite is delivered only as a short-term inpatient stay at a Medicare-certified facility1.

The Hospice Respite Statute

Under 42 CFR §418.302, inpatient respite care may not be provided for more than 5 consecutive days at a time; the sixth and any subsequent day pays at the routine home care rate1. Multiple 5-day stays are permitted across benefit periods (an initial 90-day period, a subsequent 90-day period, then unlimited 60-day periods under 42 CFR §418.21), but each individual respite stay caps at 5 consecutive days3.

Eligibility

The patient must be enrolled in Medicare hospice, with a terminal prognosis of six months or less if the disease runs its normal course, certified by two physicians under 42 CFR §418.223. For dementia specifically, hospice eligibility generally requires a Functional Assessment Staging Tool (FAST) stage of 7C or higher plus a secondary medical complication.

FY 2026 Rates

CMS published the FY 2026 hospice payment rates effective October 1, 20251:

What the Family Pays

The beneficiary pays 5% coinsurance on the respite payment, which is about $26.62 per day at the FY 2026 IRC rate1. Combined annual hospice coinsurance (the hospice drug copay plus respite coinsurance) cannot exceed the 2026 Medicare Part A inpatient hospital deductible of $1,7361.

How to Request It

Through the hospice agency, not directly from Medicare. The hospice arranges placement at a contracted facility and is required to offer respite when caregiver fatigue is documented. Ask the hospice nurse, social worker, or chaplain, and document the request in writing if there is any pushback.

Florida's Major Hospice Operators

Florida's hospice landscape is led by VITAS Healthcare (Miami-headquartered, the largest U.S. hospice operator) and Empath Health3. Empath's affiliation with Trustbridge closed April 1, 2024, and full operational integration completed in April 2026, forming Empath Trustbridge Hospice. Other operators include Cornerstone (a Chapters Health affiliate), Big Bend Hospice, Catholic Hospice, Avow Hospice, and Hope Hospice. Florida hospice licensure sits in Ch. 400, Pt. IV, F.S. and Rule 59A-37 F.A.C.

Rail 6: VA Respite Under 38 CFR §17.111, Open to All Enrolled Veterans

This is one of the most-missed VA respite streams for Florida families. Any enrolled veteran qualifies for VA respite under 38 CFR §17.111, and PCAFC enrollment is not required1.

Three Modalities

• In-home respite: a VA-paid home health aide comes to the home
• Adult day health care respite: the veteran attends an adult day health program
• Nursing home respite: the veteran stays at a VA Community Living Center or a contracted community nursing home for a short-term stay

Copayment

How to Apply for §17.111 Respite

Statewide entry: the VA Caregiver Support Line at 1-855-260-32741. The veteran's VA Medical Center Caregiver Support Coordinator coordinates the intake. Florida VA Medical Centers that administer respite include VA Bay Pines (Pinellas, Pasco, Hernando, Citrus), James A. Haley VAMC in Tampa, Malcom Randall / VA North Florida-South Georgia in Gainesville, the Orlando VA Healthcare System, VA Miami, VA West Palm Beach, and VA Gulf Coast in Pensacola. Confirm your veteran's assigned VAMC through the Caregiver Support Line.

Rail 7: PCAFC, Stipend Plus Dedicated Respite for Eligible Veterans

The Program of Comprehensive Assistance for Family Caregivers (PCAFC) sits at 38 USC §1720G with regulations at 38 CFR Part 71. PCAFC delivers two distinct respite mechanics: the stipend, which the caregiver may spend on respite at their discretion, and dedicated respite that is separate from the stipend.

The Stipend

The PCAFC monthly stipend starts from the OPM GS-4 Step 1 annual rate for the veteran's locality pay area, divided by 12. It is a monthly figure, never an hourly wage. That monthly base is then multiplied by a factor, and 38 CFR §71.40(c)(4)(i) sets four factors, not two. Which one applies turns first on whether the veteran is in the current program or is a legacy participant or legacy applicant.5

• Current program, veteran meeting §71.20(a): the factor is 0.625, or 1.00 where VA determines the veteran is "unable to self-sustain in the community"1
• Legacy participant or legacy applicant under §71.20(b) or (c): the factor comes instead from the sum of the veteran's 2019 clinical ratings, and no self-sustain determination is required on this route. A sum of 21 or higher pays 1.00, 13 through 20 pays 0.625, and 1 through 12 pays 0.255
• Both routes at once, under §71.40(c)(4)(i)(C): the caregiver is paid whichever of the two amounts is higher1
• The legacy floor, under §71.40(c)(4)(i)(D): a legacy participant's caregiver cannot be paid less than they were eligible to receive the day before October 1, 2020, so long as the veteran still lives at the address VA has on record5

The legacy apparatus lapses October 1, 2028. If your household is a legacy one, read the second bullet twice: a 2019 rating sum of 21 or higher reaches the full 1.00 factor on the ratings alone, which is 1.6 times the 0.625 amount, so no one should tell you the "unable to self-sustain" finding is the only road to the top rate. Ask your Caregiver Support Coordinator which schedule VA is paying you on before you budget respite hours against a number.5

Because the base is locality-adjusted, the exact Florida amount depends on the veteran's metro area; How to Get Paid to Care for a Family Member in Florida works the same schedule in more detail. The stipend is not earmarked for respite; the Primary Family Caregiver decides how to allocate it, and many families put part of it toward private respite hours.

The Dedicated Respite

Under 38 CFR §71.40, PCAFC families receive at least 30 days of dedicated respite per year on top of the stipend, separately funded, available in-home, at adult day health, or at a VA Community Living Center or community nursing home1. The regulation sets a floor of 30 days, so a family with a documented clinical need can request more.

Who Qualifies for PCAFC

The 70% rating and the six-month care need are the two requirements families hear about, but they are two of seven. VA states that a veteran or service member "may be eligible for a Family Caregiver if all of the following requirements are met," and 38 CFR §71.20(a) likewise requires all of them1:

1. The individual is a veteran, or a service member undergoing medical discharge
2. The individual has a serious injury, including serious illness, incurred or aggravated in the line of duty in the active military, naval, or air service. For PCAFC purposes a serious injury means a service-connected disability rated at 70% or more by VA, alone or combined with other service-connected disabilities to a combined 70% or more; §71.20(a)(2) additionally ties it to service on or after September 11, 2001, on or before May 7, 1975, or, effective October 1, 2022, between those two dates1
3. The individual needs in-person personal care services for a minimum of six continuous months, based on any one of an inability to perform an activity of daily living, a need for supervision or protection, or a need for regular or extensive instruction or supervision
4. Participation is in the individual's best interest
5. The personal care services the Family Caregiver would provide "will not be simultaneously and regularly provided by or through another individual or entity"
6. The individual receives care at home, or will do so if VA designates a Family Caregiver
7. The individual receives ongoing care from a Primary Care Team, or will do so if VA designates a Family Caregiver

Whether a specific veteran clears all seven is determined by VA on the application. Requirement 5 is the one that catches Florida families, and it is the reason the stacking section below carries a warning rather than just a billing rule.

How to Apply for PCAFC

VA Form 10-10CG. Statewide entry: the VA Caregiver Support Line at 1-855-260-32741.

Rail 8: SMMC LTC Waiver Respite, for Enrolled Members Only

Florida's Statewide Medicaid Managed Care Long-Term Care (SMMC LTC) program, run by the Florida Agency for Health Care Administration (AHCA), covers respite care as one of its home and community-based services6. It is available only to enrolled members: applicants on the SMMC LTC waitlist cannot access respite through this rail until they are enrolled1.

The SMMC LTC Respite Statute

SMMC LTC is operationalized at Fla. Admin. Code R. 59G-4.192, with the covered service array carried in the AHCA plan contract. Respite Care is a named service in that minimum array, alongside Adult Day Care, Personal Care / Attendant Care, Homemaker, and Home Delivered Meals6. These services are available based on medical necessity, or where they are necessary to delay or prevent nursing-facility placement.

What's Covered

Both in-home respite and facility-based respite. Facility-based overnight respite is typically delivered at a participating assisted living facility, adult family care home, adult day health center, or nursing facility for a short-term stay. Respite is a separate service-authorization line from personal care; the two are evaluated together against the federal HCBS cost-neutrality limit but do not draw from the same authorization.

Hour and Day Caps

There is no statutory cap. Plan-level informal caps are common, but members can request more through the plan-of-care amendment process, and through the grievance and Fair Hearing process if a request is denied.

Self-Direction (PDO)

Under the current SMMC LTC contract, respite itself is not one of the participant-directed (PDO) services; the PDO list is adult companion care, attendant nursing care, homemaker services, intermittent and skilled nursing, and personal care, so respite hours are delivered by the plan's network providers.7 The practical workaround for families is the PDO personal-care and companion services: the member can hire, train, schedule, and supervise their own worker for those services, and in Florida that worker may be an adult child, a friend, a non-spouse relative, or a spouse, provided the worker is 18 or older, passes a Level 2 background screening, and signs a PDO Direct Service Worker Agreement, and provided the paid work goes beyond the care a family member would ordinarily furnish without compensation.7 A paid family worker covering daily-care hours frees other family members in much the way dedicated respite would. Florida's allowance of a spouse as a paid PDO worker is more permissive than many states' programs. The one structural restriction is that a person serving as the member's PDO Representative cannot simultaneously be the paid Direct Service Worker for that member.

Rail 9: Specialized Adult Day Care Under §429.918 F.S.

Florida adult day care licensure sits in Chapter 429, Part III, F.S., implemented by Rule 59A-16 F.A.C. The specialized Alzheimer's services designation under §429.918 F.S. is the dementia-specific track that pairs with multiple respite funding rails: NFCSP, ADI, GUIDE, VA, SMMC LTC, and private pay all accept §429.918 specialized adult day as an eligible respite-by-day-care expenditure.

The Specialized Standards

Under §429.918 F.S., a specialized center must maintain at all times a minimum staff-to-participant ratio of one direct-service staff member for every five ADRD participants, and direct-care staff must complete the dementia training and continuing education required under §430.5025 F.S.3 The center must also provide individualized written care plans, structured cognitive-appropriate activities, and written program disclosure to families.

Cost

Standard adult day care in Florida is priced per day, and specialized §429.918 dementia day care typically runs higher, reflecting the 1:5 staffing requirement and dementia-specific programming. Because rates vary by market, contact centers directly for current per-day pricing.

Funding Stack

A single day of adult day care can be paid by only one funding source, but families often layer across days. A common Florida pattern is to pay some weekdays with an NFCSP voucher and others with an ADI voucher, covering occasional gap days privately.

Rail 10: The Private Respite Stack

When the public rails are exhausted or unavailable, Florida families turn to private gap-fill.

Long-Term Care Insurance Riders

Most modern long-term care insurance policies include a respite-care provision covering in-home or facility respite, counted against the policy's overall benefit period. Review your policy declarations for day-limit and daily-benefit details, which vary widely by contract. Long-term care insurance benefits paid on a per-diem basis are excluded from taxable income up to a federal daily cap for chronically ill insureds; confirm the current-year figure with a tax professional.

Out-of-Pocket Short-Term Residential

Short-stay residential respite is available at participating assisted living facilities, adult family care homes, and memory-care communities. Pricing varies widely by facility and market, so contact facilities directly for current short-stay rates. Adult family care home availability is limited by the 5-bed-per-home cap.

Out-of-Pocket In-Home Respite

Private in-home respite in Florida is billed hourly, and the rate depends on the market and on whether you hire through a licensed home health agency or a nurse registry4. A nurse registry typically passes payment through to the worker with a smaller administrative margin, while agency-employed aides and registered nurses cost more. Contact providers for current rates.

Faith-Based and Volunteer Networks

Outside Project R.E.L.I.E.F., several Florida organizations offer free or low-cost respite via volunteer networks. The Respite for All Foundation operates ministry sites in several Florida counties, and some Alzheimer's Association local chapters host respite-care mornings. These programs are not centrally cataloged; the best access path is the local AAA's resource specialist or the Alzheimer's Association 24/7 helpline at 1-800-272-39003.

The Stacking Rules: How to Layer Without Double-Billing

Anti-duplication clauses are uniformly enforced across NFCSP, ADI, GUIDE, SMMC LTC, VA, and Medicare hospice: a single hour or day of respite can be paid by only one funding source1.

Anti-duplication is a billing rule, and careful scheduling satisfies it. PCAFC adds a harder rule that is about eligibility, not billing. Requirement 5 of the seven above is that the personal care services the Family Caregiver would provide "will not be simultaneously and regularly provided by or through another individual or entity"1. A Florida family already receiving regular personal care through another program or entity, including the state's Community Care for the Elderly and Home Care for the Elderly programs or a Medicaid personal-care benefit, can therefore fail PCAFC on that ground alone, however cleanly the hours are separated for billing. Nothing below tells you to give up other help; it tells you to raise every existing personal-care arrangement with the VA Caregiver Support Coordinator before you file or expand one, because the sequence you choose can decide whether the PCAFC claim survives.

What Works

• NFCSP in-home respite on some weekdays, plus ADI adult day on others, plus a Medicare hospice inpatient respite week once per benefit period (distinct hours, distinct days, no overlap)
• PCAFC stipend (paid to the caregiver) plus VA dedicated respite (paid to the provider), different payee roles, no double-counting
• SMMC LTC personal care during weekday hours plus an NFCSP voucher for weekend respite (different services, different days)

What Does NOT Work

• Billing NFCSP and ADI for the same day
• Using the GUIDE respite benefit to top up a paid SMMC LTC respite hour
• Using the PCAFC stipend and VA dedicated respite to pay the same worker for the same hour
• Stacking Medicare hospice inpatient respite with any other respite payment during the 5-day inpatient stay

The Payer-of-Last-Resort Rule

Title III-E (NFCSP) is the Older Americans Act payer of last resort where Medicaid covers the same service1. The practical effect: if a family qualifies for SMMC LTC respite, they should use that first, and NFCSP fills the gaps.

Florida-Specific Gaps Families Must Know About

Federal tax mechanisms remain available to Florida residents, including the Dependent Care Credit and the medical-expense deduction. Florida has no state income tax, so there is no state caregiver tax credit either way1.

Where to Call First: A Decision Tree

The most useful first move in respite planning is to identify which phone line is the right opening call. In Florida, the Elder Helpline routes to the aging network and the CARES program, which determines Medicaid long-term-care level of care and is the gateway to SMMC LTC2.

Eight Common Family Confusions This Guide Fights

1. Medicare hospice respite is inpatient, not at-home. Up to five consecutive days at a Medicare-certified facility.
2. The GUIDE respite benefit is an annual aggregate on a July-June program year, with no carryover. Many families assume monthly accrual.
3. The PCAFC stipend is not earmarked for respite. The caregiver decides how to spend it.
4. NFCSP voucher amounts vary by AAA. There is no statewide standard.
5. VA respite under §17.111 is open to all enrolled veterans. PCAFC enrollment is not required.
6. The SMMC LTC waitlist gives no respite access. Only enrolled members get SMMC LTC respite.
7. Florida is not a Lifespan Respite Care Program grant state. National guides that refer families to "your state's Lifespan Respite program" do not apply in Florida.
8. Specialized §429.918 adult day care is not standard adult day care. Different license, staffing ratio, and pricing.

The Bottom Line

The defining fact about Florida respite is the absence of a single statewide application. The offsetting fact is that there are ten distinct funding rails, and most Florida families qualify for at least three of them at once. The action with the widest reach is to call the Elder Helpline at 1-800-963-5337 and ask the intake specialist to screen for NFCSP, ADI, Community Care for the Elderly, and the CARES gateway in one conversation1. For dementia families, add a referral to a CMS GUIDE practice; for veterans' families, add the VA Caregiver Support Line.

The rails do not stack on the same hour. They stack across distinct hours, distinct days, and distinct service types, and the work is mapping which hour or day belongs to which rail. Florida's 11 Area Agencies on Aging exist to do that mapping, and the earlier in the federal fiscal year you start, the more options you have before the respite cliff narrows them.

Learn More

Find personalized help mapping Florida respite care funding to your family's situation at brevy.com.

The information on Brevy.com is for educational purposes only and is not a substitute for professional legal, financial, or medical advice. Rules vary by state and program and change frequently. Always verify with the relevant agency or a qualified professional. Brevy is not a law firm, financial advisor, or healthcare provider.