Breakthroughs LLC is a Florida Medicaid Waiver agency serving individuals and families through the Home and Community-Based Services (HCBS) Waiver program. Founded in 2014 and owned and operated by Anastasia Wagner-Peracciny, the organization supports adults with intellectual disabilities in pursuing meaningful, more independent lives. Its services include Personal Supports, Respite Care, Supported Living Coaching, Supported Employment, and Companion Services, with assistance tailored to each person’s needs, goals, and abilities.

Breakthroughs LLC also provides transitional services to help individuals move from group or family homes into supported living environments. Its approach combines practical, personalized support with a welcoming atmosphere that encourages people to grow, explore opportunities, and develop their potential. The agency aims to ease the demands on family caregivers while helping individuals participate more fully in their communities. Community events and social gatherings offer opportunities to connect, build relationships, and foster inclusion. With a team focused on compassionate, high-quality social services, Breakthroughs LLC works to help the people it serves feel supported and included.