MedicaidCoverageMedium impact
Intellectual and Developmental Disabilities Comprehensive Managed Care (ICMC) Waiver
Florida Medicaid·FL · Pediatrics, Psychiatry, Physical Therapy +2 more·Managed Care
We identified it
Jul 31, 2026
Summary
Florida Medicaid is amending the ICMC Waiver to revise the definition of 'developmental disability' and define 'Tatton-Brown-Rahman syndrome.' This is currently in a 30-day public comment period (July 30 - August 28, 2026) before submission to CMS. No billing changes are effective yet, but practices serving IDD populations should monitor for finalized guidance.
Action Required
By August 28, 2026: If your practice serves patients under Florida's ICMC Waiver (Managed Medical Assistance, LTC Waiver, or iBudget services), review the full waiver amendment on the AHCA website and submit any comments to FLMedicaidWaivers@ahca.myflorida.com with subject line 'Intellectual and Developmental Disabilities Comprehensive Managed Care (ICMC) Waiver amendment request.' After CMS approval (expected late 2026 or early 2027), billing team must review updated eligibility criteria and diagnosis definitions to ensure claims reflect revised developmental disability definitions. No immediate workflow changes required, but flag this for follow-up once the amended waiver is approved.