Support for people with developmental disabilities in Lee County, Florida
Support for your daily life and your goals
At Makusina, we focus on respectful care, independence and being part of the community. Our services: Personal Supports, Respite (Under 21) and Life Skills Development Level 1 (Companion).
Ask about availability in Lehigh Acres and other communities in Lee County.

What a week of support can look like
- Monday:Support with the morning routine
- Tuesday:Taking part in preparing a meal
- Wednesday:Enjoying a social activity in the community
- Thursday:Practicing an everyday skill, like organizing personal belongings
- Friday:A recreational activity at the park or the library
Services
How we can help
Each service follows the person's support plan and authorization.
Personal Supports
Help with daily activities such as personal hygiene, dressing, eating and preparing meals.
Respite (Under 21)
Temporary care and supervision for participants under 21 while their main caregiver is away.
Life Skills Development Level 1 (Companion)
Non-medical companionship, supervision and social activities for adults 21 and older.
How it works
How to get started
- 1
Contact Makusina
Tell us what support you are looking for and where it is needed. We can talk with the person, their family or their authorized representative.
- 2
Talk to your Waiver Support Coordinator
If you are on the iBudget waiver, let your coordinator know you would like to consider Makusina. Before services begin, we review the authorized service, your goals and your support needs.
- 3
Confirm the start
The schedule is set based on your authorization and our availability. Any change to your supports is coordinated with the right people.
Why us
Why consider Makusina
Respect for your choices
Your decisions and preferences guide how we support you.
Centered on your needs
Support is planned around you, not around a fixed routine.
In touch with the people you choose
We keep your family, representative or coordinator informed, as you authorize.
Focused on your goals
Support aimed at your goals and at taking part in your community.
Non-medical support services.Makusina does not provide nursing care or medical treatment.
FAQs
Frequently asked questions
Who are our services for?
People with developmental disabilities who need support with daily living, companionship, or temporary care to give their primary caregiver a break. Age and requirements depend on the service.
How many hours of service can I receive?
Hours depend on your needs and the authorization approved for each service. Your support coordinator can help you review your authorized hours. Contact us to check schedule availability.
Does Medicaid cover these services?
These services may be covered by Medicaid through APD's iBudget program, when the person is enrolled and the service is authorized. Having Medicaid alone does not guarantee this coverage.
Do you provide medical care?
We provide non-medical support and care. We do not provide nursing care or medical treatment.
What areas do you serve?
Ask about our availability in Lehigh Acres and other communities in Lee County. Availability depends on your location, the service requested and the schedule you need.

