Florida: The $13,000 Asset Trap and Reporting Lag

Florida’s WPD expansion raises asset limits but shifts work reporting to providers, creating recoupment risk and billing errors.


The Hardship: Success is a Compliance Risk

Florida’s 2026 expansion of the Working People with Disabilities (WPD) program is a double-edged sword. While it raised asset limits to $13,000, it shifted the burden of "Work Activity" reporting onto the iBudget and Long-Term Care providers. If a client exceeds the Substantial Gainful Activity (SGA) threshold without proper "Opt-In" documentation, the provider faces retroactive recoupment.

RCM Insight: The Managed Medical Assistance (MMA) Disconnect

The RCM challenge here is the lack of real-time data sharing between the Agency for Health Care Administration (AHCA) and providers. When a member's income fluctuates, their "WPD eligibility" status can change in the portal without an alert. Providers are often billing under the "Standard" waiver rules when they should be under the "WPD" rules, leading to massive re-billing projects.

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