North Central Florida · Now accepting new clients

Compassionate home care in Columbia County

Trusted, background-screened caregivers, hands-on Florida Medicaid guidance, and flexible private-pay care for Columbia County families—all coordinated by Cottage Home Care's Florida team.

  • Florida Medicaid at little to no cost for those who qualify
  • A loved one may be hired and paid to provide the care
  • Private pay can begin in as little as 24 hours
  • Free eligibility review — we handle the paperwork
Call (786) 899-46735.0 rating from South Florida families

Request care in Columbia County

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North Central Florida home care

Local, trusted care across Columbia County

Cottage Home Care helps seniors and adults with disabilities across Columbia County, Florida stay safe and independent in the homes they love. From Lake City to the rural stretches near the Osceola National Forest and the Suwannee River, we support families who would rather keep a parent or spouse in familiar surroundings than move them into a nursing home or assisted living facility. Whether the need is help with daily routines, memory care, or around-the-clock supervision, we build the plan around your loved one's life in North Central Florida.

From your very first call, our Florida care team walks you through Florida Medicaid and the Statewide Medicaid Managed Care Long-Term Care program (SMMC-LTC)—a statewide benefit that reaches Columbia County residents even though our offices are in South Florida. We explain what the program covers, help gather paperwork, and guide you through eligibility at no cost. In many cases, a qualified family member or trusted friend can be hired and paid to provide the care through Florida's participant-directed options. Every caregiver we place is trained and background-screened for your family's peace of mind.

If you don't qualify for Medicaid or simply don't want to wait, our private-pay option lets care begin fast—often within about 24 hours—with no eligibility process to clear. Choose hourly visits, overnight coverage, or live-in support, and adjust the schedule as your loved one's needs change. It's a flexible, straightforward way for Columbia County families to get dependable help exactly when they need it.

Cottage Home Care proudly serves families throughout Columbia County, including Lake City, Fort White, Watertown, Five Points, Lulu, Falling Creek, and Ellisville.

Cities we serve in Columbia County

  • Lake City
  • Fort White
  • Watertown
  • Five Points
  • Lulu
  • Falling Creek
  • Winfield
  • Ellisville
Why Cottage Home Care

Why Columbia County families choose us

  • Statewide Florida Medicaid coverage that reaches Columbia County

    SMMC-LTC is a statewide Florida Medicaid program, so Columbia County families qualify for in-home long-term care benefits no matter how rural your address—whether you're in downtown Lake City or out past Fort White near Ichetucknee Springs. Cottage Home Care's Florida team coordinates your care remotely and places local caregivers, connecting Gateway-area residents to services many didn't know they were entitled to.

  • Florida Medicaid paperwork handled for you at no cost

    Navigating SMMC-LTC eligibility can feel overwhelming, especially while caring for a loved one. Our team helps Columbia County families check eligibility, complete applications, and understand their benefits—all free of charge. For those who qualify, Florida Medicaid means little to no out-of-pocket cost for personal care, companion care, homemaking, and more, so families along the I-75 and I-10 corridors can focus on their loved one instead of the forms.

  • A loved one can be the paid caregiver

    Through Florida's participant-directed Medicaid options, many Columbia County families can have a qualified son, daughter, spouse, or trusted friend hired and paid to provide care. That means a familiar face from right here in the Lake City area—someone who already knows your loved one's routines and preferences—can deliver the help they need while earning compensation for it.

  • Private pay that starts fast

    When you can't wait on an eligibility decision, private pay lets Columbia County families begin care in as little as 24 hours with no Medicaid approval required. Pick hourly, overnight, or live-in support and scale it up or down as needs change—ideal for a quick hospital-to-home transition in Lake City or ongoing help for a parent living out in Fort White or Watertown.

Two paths to home care in Florida

Most Florida families use Medicaid to cover home care. Others start privately within 24 hours. One free call and we’ll tell you which path fits — no obligation.

Most families qualify
Medicaid

Florida Medicaid Home Care

Statewide Medicaid Managed Care — Long-Term Care (SMMC-LTC)

$0out-of-pocket for those who qualify

Florida Medicaid covers in-home care at no cost for eligible seniors. Through the Participant Directed Option, a family member can even be hired and paid as the caregiver.

  • Little to no cost for qualifying families
  • A family member can be paid to be the caregiver
  • We handle the eligibility paperwork — free
  • Serving Miami-Dade, Broward & Palm Beach
Start in ~24 hours
Private Pay

Private Pay Home Care

Flexible care with no Medicaid paperwork or waiting

24 hrsand care can begin — no eligibility wait

Choose the schedule you need — hourly, overnight, 24-hour, or live-in care anywhere in South Florida — and we match a trusted caregiver right away.

  • Start right away — no eligibility wait
  • Flexible hourly, overnight & live-in plans
  • Change or scale your hours anytime
  • Clear hourly rates — no hidden fees

Not sure which path is right for your family? We’ll walk you through both — free, with no obligation.

Ready to find the right home care in Florida?

Complete home care, across all of Florida

From everyday personal care to specialized memory support, our South Florida caregivers deliver personalized care at home — through Florida Medicaid or private pay, we’ll help you find the right fit.

  • Personal Care

    Bathing, dressing, grooming, toileting, and everyday mobility support.

  • Companion Care

    Companionship, supervision, errands, and genuine emotional support.

  • Alzheimer's & Dementia

    Specialized, patient memory care delivered in familiar surroundings.

  • Homemaking

    Light housekeeping, laundry, and home-cooked meal preparation.

  • 24-Hour & Live-In

    Around-the-clock and live-in care for higher-need routines.

  • Medicaid & Private Pay

    Free help with SMMC-LTC eligibility, or flexible private-pay plans.

Statewide service areaOur offices — Miami & Fort Lauderdale
Florida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA CompliantFlorida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA CompliantFlorida Agency for Health Care Administration LicensedCHAP CertifiedLicensed Home Care AgencyCHAP Seal of AccreditationHIPAA Compliant

Trusted by South Florida families

Real reviews from the families we care for across Miami-Dade, Broward, and Palm Beach.

Elena R.Verified
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
Miami, FL
Marcus G.Verified
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
Fort Lauderdale, FL
Carmen S.Verified
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
West Palm Beach, FL
David L.Verified
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
Hollywood, FL
Rosa N.Verified
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Hialeah, FL
Elena R.Verified
Cottage made it so easy to arrange care for my mother. Our caregiver treats her like family, and I finally have peace of mind knowing she is safe at home.
Miami, FL
Marcus G.Verified
From the first call, the team was warm and organized. They matched us with a caregiver quickly and the care has been outstanding every single day.
Fort Lauderdale, FL
Carmen S.Verified
After my husband’s surgery we needed help fast. Cottage handled everything and the caregivers were compassionate, punctual, and truly skilled.
West Palm Beach, FL
David L.Verified
Being able to be paid to care for my dad through the Medicaid program changed everything for our family. Cottage walked us through every step.
Hollywood, FL
Rosa N.Verified
The team went above and beyond to make sure I understood every option. Patient, kind, and genuinely caring — five stars without hesitation.
Hialeah, FL

Columbia County home care — your questions answered

Quick answers about Florida Medicaid, private pay, and getting started with in-home care in Columbia County.

Yes. We serve families throughout Columbia County, from Lake City and Fort White to smaller communities like Watertown, Five Points, Lulu, Falling Creek, and Ellisville. While our offices are in South Florida, our Florida care team coordinates services and places trained, background-screened caregivers across the entire county, including its rural areas near the Osceola National Forest and Suwannee River.

Get in touch

Visit our Miami & Fort Lauderdale offices

Stop by, call, or send us a message. Our local team is here to answer your questions and help you get started.

Let’s build your care plan

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