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Medicaid waivers for autism in Florida

Floridians with a developmental disability, served through the iBudget Home and Community-Based Services waiver.

Main program
iBudget Florida Waiver (APD)
Typical wait
Often 10+ years — one of the longest in the country
Administered by
Agency for Persons with Disabilities (APD)
Phone
(866) 273-2273

How to get on the list

Apply to your local APD office online, by post or in person, or call 1-866-273-2273. If your family is in crisis — homelessness, life-threatening behaviours, or a caregiver who can no longer safely provide care — contact your APD Regional office directly and say so explicitly. Crisis status is assessed separately and can move a family up the categories.

Open the official Florida page →

Does autism qualify?

Autism qualifies, but Florida applies a functional test: you must show severe functional limitations in at least three major life activities — self-care, learning, mobility, self-direction, understanding and use of language, or capacity for independent living. A diagnosis alone is not enough, so documentation of daily functional impact matters more here than in many states.

How the waiting list works

Florida does not run a simple first-come queue. Applicants are sorted into seven crisis categories, Category 1 being the highest priority. Most families sit in the lower categories and wait years; the reported waiting list stood at 22,372 people, with many waiting more than a decade.

  • People on the waiting list22,372 (as reported for January 2023)
  • Typical wait in lower categoriesFrequently 10+ years

What it can pay for

  • Personal supports and companion services
  • Respite care
  • Behaviour analysis and assistant services
  • Therapies
  • Supported employment
  • Residential habilitation

Other programs worth knowing

Crisis enrollment

The most under-used route in Florida. A family facing homelessness, danger to the child or others, or a caregiver in extreme duress can be enrolled ahead of the general list. If your circumstances change while you wait, tell APD — your category can be reassessed.

Sources · last checked August 2026

Waiting lists and eligibility rules change. Always confirm current details with the agency before making decisions. If something here is out of date, tell us.