Benefits · Elder Services
How to apply for Nassau County Council on Aging — Adult Day HealthCare + Home Health Services
Nassau County Council on Aging, Inc. (NCCOA) — 501(c)(3) nonprofit serving Nassau County for 40+ years; licensed Adult Day HealthCare facility + Home Health Services provider integrated with NCCOA's broader AAA delivery role; main office at 1901 Island Walk Way, Fernandina Beach FL 32034
Who it's for
Beyond Meals on Wheels and NassauTRANSIT, NCCOA operates two senior services that materially reduce caregiver burden: (1) Adult Day HealthCare — a licensed structured day-program providing supervision, meals, activities, personal care, and medical monitoring for seniors needing more support than independent living but less than skilled nursing; gives family caregivers daytime respite for work, errands, and self-care. The 'HealthCare' designation (vs. 'Adult Day Care') reflects the higher level of nursing supervision available compared to social-model day programs. (2) Home Health Services — including personal care assistance (bathing, dressing, grooming), light housekeeping, errand support, and limited nursing visits for seniors who prefer to age in place. NCCOA's home health is funded through a mix of Florida Community Care for the Elderly (CCE), Home Care for the Elderly (HCE), Alzheimer's Disease Initiative (ADI), private-pay, and limited Medicaid Long-Term Care contracts. Eligibility is age 60+ and Nassau County residency for the senior pathway; Adult Day HealthCare additionally requires a documented functional need (physician referral or NCCOA case manager assessment) and Home Health requires an ADL-limitation assessment. Apply by calling NCCOA at 904-261-0701.
NCCOA's Adult Day HealthCare and Home Health Services are sponsorship-funded — sliding-scale fees apply based on income and sponsorship source (CCE, HCE, ADI, private-pay, or limited Medicaid LTC). The 'HealthCare' designation in Adult Day HealthCare means licensed nursing supervision is available on-site, which is a more substantial service than the social-model Adult Day Care operated in Clay (fl.clay.coa_adult_day_care). For seniors with significant medical complexity (dialysis, complex med regimens, post-stroke recovery, post-surgical needs), NCCOA's Adult Day HealthCare is materially more appropriate than peer county Adult Day Care programs. Home Health Services may have a waitlist depending on funding cycle — apply early. The combination of NCCOA Adult Day HealthCare + Home Health + NassauTRANSIT + Meals on Wheels under one nonprofit is the second fully-integrated AAA delivery model in the catalog (after St. Johns COASJC) and is genuinely valuable for caregivers coordinating complex care plans.
What you'll need
- Proof of age 60+ (Florida driver's license, Florida ID, or birth certificate)
- Proof of Nassau County residency (utility bill, lease, or government correspondence)
- For Adult Day HealthCare: physician referral documenting functional/medical need + caregiver presence in household
- For Home Health Services: NCCOA case manager assessment of activities-of-daily-living limitations
- For ADI program inclusion: documented cognitive impairment diagnosis or screening result (MoCA, MMSE, or similar)
- For Medicaid LTC payment: separate Medicaid application + level-of-care determination
Where to apply
Apply online: official application
By phone: 904-261-0701
Renewals
annual reassessment by NCCOA case manager; Adult Day HealthCare enrollment is rolling
Not sure if you qualify? Run a free check first.
Find my benefitsNot legal or financial advice. The agency makes the final eligibility decision.