The Developmental Disabilities Individual Budgeting (iBudget) waiver is Florida's Medicaid waiver for home and community-based services, administered by APD. Every consumer has an individual budget, a support plan, and a waiver support coordinator — and every service a provider delivers must trace back to an authorization inside that budget. The iBudget Handbook defines each service, who can deliver it, and how it must be documented. This page is the plain-language map of that service menu, organized by the eight service families the Handbook itself uses: Life Skills Development, Supplies and Equipment, Personal Supports, Residential Services, Support Coordination, Wellness and Therapeutic Supports, Transportation, and Dental Services.
Life Skills Development
Life Skills Development 1 — Companion
Non-medical supervision and community-based socialization, one-to-one or in very small groups. Formerly called companion services. Companion provider guide
Life Skills Development 2 — Supported Employment
Job coaching that helps a consumer find and keep community employment at or above minimum wage — or build a small business — in individual or group models.
Life Skills Development 3 — Adult Day Training (ADT)
Structured daytime programs teaching daily-living, social, and pre-work skills, typically in a facility setting. Adult Day Training provider guide
Life Skills Development 4 — Prevocational Services
Learning and volunteer-work experiences that build general employability skills as a path toward paid employment.
Supplies and Equipment
Consumable Medical Supplies
Non-durable items used daily — briefs, feeding-tube supplies, and similar.
Durable Medical Equipment and Supplies
Prescribed equipment built for repeated use — wheelchairs, lifts, and the like.
Environmental Accessibility Adaptations
Physical home modifications — ramps, grab bars, widened doorways — that make the home safe and usable.
Personal Emergency Response Systems (PERS)
Electronic units that let a consumer summon emergency help, including installation and monitoring.
Personal Supports
Personal Supports
Hands-on assistance and training with activities of daily living for adults — 21+ in the family home, 18+ in their own home or supported living — the waiver's highest-volume in-home service. Personal Supports provider guide
Respite Care
Temporary care for a consumer under 21 when the primary caregiver needs relief or is unavailable — delivered in the home or community. Respite Care provider guide
Residential Services
Residential Habilitation (Standard)
Supervision and daily-living skills training for consumers living in licensed residential facilities — billed per day or per month depending on the model. Residential Habilitation provider guide
Residential Habilitation (Behavior Focused)
The same core service for residents whose behavioral needs meet defined criteria, delivered by staff with additional behavioral training.
Residential Habilitation (Intensive Behavior and Enhanced Intensive Behavior)
The highest tiers — for residents with significant behavioral intensity, in designated facilities with specialized oversight (the enhanced level is for the most severe needs).
Specialized Medical Home Care
Intensive nursing-level care for consumers with complex medical conditions, provided in specific licensed homes approved for it.
Supported Living Coaching
Training and assistance that helps an adult live independently in their own home or apartment — from budgeting and cooking to landlord and community relationships. Supported Living Coaching provider guide
Support Coordination
Support Coordination (Limited, Full, and Enhanced)
The waiver support coordinator (WSC) every consumer has — locating, selecting, and coordinating services and monitoring health and safety, at the level of support the person needs. For people in CDC+, the WSC must also be a trained CDC+ consultant.
Wellness and Therapeutic Supports
Behavior Analysis Services
Assessment and behavior-plan development by certified behavior analysts — building replacement skills for challenging behaviors. Behavior Analysis Services provider guide
Behavior Assistant Services
Trained assistants who help implement an approved behavior plan day-to-day, supporting the analyst's program and the caregivers.
Dietitian Services
Nutritional assessment, meal-plan recommendations, and counseling, prescribed by a physician.
Private Duty Nursing
Continuous one-on-one nursing for adults (21+) in home or community settings.
Residential Nursing
Continuous nursing care for consumers who live in licensed facilities and need it.
Skilled Nursing
Part-time or intermittent nursing visits (as opposed to continuous care).
Occupational, Physical, Respiratory & Speech Therapy
Physician-prescribed, one-on-one therapies targeting functional outcomes — self-help and adaptive skills, mobility and posture, respiratory function, and communication or swallowing.
Specialized Mental Health Counseling
Counseling for consumers with co-occurring psychiatric needs, oriented to rehabilitation goals.
Transportation
Transportation
Rides between home and waiver services in the community — often documented per trip.
Dental Services
Adult Dental Services
Dental treatment for adults 21+ that the Medicaid State Plan doesn't otherwise cover.
What this means for your agency
Each service you're enrolled to deliver brings its own trio of obligations: staff who meet that service's qualifications and training requirements, documentation entered in APD iConnect to that service's rules, and agency records that prove both — the consumer record and personnel files a Provider Discovery Review examines. Waiversoft is the EHR for Florida APD iBudget agencies that keeps that second half organized: per-service checklists, expiration tracking on every certificate, and one-click audit packets when the review letter arrives.
Frequently asked questions
What services does the iBudget waiver cover?
Roughly thirty services, which the iBudget Handbook groups into eight service families: Life Skills Development, Supplies and Equipment, Personal Supports, Residential Services, Support Coordination, Wellness and Therapeutic Supports, Transportation, and Dental Services.
What are the eight iBudget service families?
Per the iBudget Handbook (May 2023): Life Skills Development (levels 1–4), Supplies and Equipment, Personal Supports (Personal Supports and Respite Care), Residential Services (Residential Habilitation tiers, Specialized Medical Home Care, Supported Living Coaching), Support Coordination, Wellness and Therapeutic Supports (behavior services, nursing, therapies, dietitian, specialized mental health counseling), Transportation, and Dental Services. Names like “Developmental Disabilities Personal Growth” are not a service family.
Who decides which services a consumer receives?
Services flow from the consumer's person-centered support plan and iBudget cost plan, coordinated by their waiver support coordinator (WSC) and authorized within the consumer's iBudget allocation. Providers deliver against service authorizations — never beyond them.
Do different services have different documentation rules?
Yes. Each service carries its own documentation requirements in the iBudget Handbook — service logs, progress notes, monthly summaries, or trip logs — and its own unit type (15-minute units, hourly, daily, monthly, or per-trip). Staff qualifications and training also differ by service.
Are there age restrictions on iBudget services?
Several services carry them — for example Personal Supports and Adult Dental are for adults 21 and over, while Respite Care is for consumers under 21. The iBudget Handbook and the consumer's authorization govern in every case.