MedicaidCoverageMedium impact
Developmental Disabilities Individual Budgeting (iBudget) Waiver
Florida Medicaid·FL · Pediatrics, Genetics, Family Medicine +1 more·Specialty Services
Effective date
Jul 1, 2026
We identified it
Jul 2, 2026
Summary
Florida Medicaid is amending the iBudget Waiver (effective July 1, 2026) to expand eligibility by adding Tatton-Brown-Rahman Syndrome (TBRS) as a covered developmental disability diagnosis, updating the definition of 'developmental disability,' and clarifying background screening requirements for providers. A 30-day public comment period runs through July 30, 2026.
Action Required
By July 30, 2026: Billing and clinical teams must review the full waiver amendment document (available at Florida AHCA website) to understand expanded eligibility criteria for TBRS diagnoses. Update intake/eligibility screening procedures to identify members with TBRS who may now qualify for iBudget waiver services. Verify provider background screening compliance with updated Section 393.0655 F.S. requirements. No immediate billing code changes are required, but teams should monitor for CMS approval of the amendment (expected after July 30, 2026) and be prepared to implement eligibility changes in billing systems once final approval is received. Contact FLMedicaidWaivers@ahca.myflorida.com with questions before the comment period closes.