Florida Medicaid

If you are a resident of Florida who cannot afford health coverage, you may be eligible to receive financial help with your medical costs. Though it is a nationwide, government healthcare initiative, Medicaid is regulated at a state level, and the cost is shared between both federal and state departments. Developed to assist low-income individuals and families with healthcare-related expenses, Medicaid caters to several types of patients. You may be eligible to receive Medicaid help in Florida if you are:

  • A pregnant woman.
  • A child.
  • A parent, a caretaker or a relative of children who need aid.
  • A child who was formerly in foster care.
  • A noncitizen with a medical emergency.
  • A senior or a disabled patient who is not currently receiving Supplemental Security Income.

In the sections below, find detailed information on the Florida Medicaid application process, the Medicaid eligibility requirements and how to contact Medicaid with any questions.

How to Apply for Medicaid in Florida

In order to receive healthcare benefits through Medicaid, you must first apply through Access Florida. Applying online is the easiest and most convenient method in which to begin your Florida Medicaid paperwork. To open a new account, you must:

  • Enter your name.
  • Develop a user ID and a password.
  • Create the questions and answers to security questions.
  • Agree to the privacy conditions.

Once you have completed the above steps, you can begin your Medicaid application. The information you should have on hand in order to fill out your Florida Medicaid form includes:

  • Social Security Number
  • Date of birth
  • Income information
  • Child support records
  • Health insurance policy
  • Proof of identity
  • Asset information
  • Housing expenses
  • Proof of Citizenship or noncitizen status

Your Florida Medicaid application can take up to 45 days to approve or deny. You will have access to your account login 24 hours a day, seven days a week. Prior to submitting your application for Medicaid to Access Florida, you will have the chance to save and/or revise it. Once you have sent in your online Medicaid form, you can check the status of your application and benefits granted, as they are determined.   

If you are approved for Medicaid benefits in Florida, you will be able to print out a temporary Medicaid card immediately through your account. If you enrolled in the Medically Needy program, you will also be able to view the Share of Cost amount decided.  

Where to Apply for Florida Medicaid

If you cannot create an Access Florida account to complete your Medicaid application, there are other options at your disposal. In addition to the online application system, you can also submit your Medicaid form:

In person – You can fill out and submit your form at a Florida Department of Children and Families (DCF) Customer Service Center. In order to find a location near you, visit the DCF website’s officer locator tool and “Select a County.” You can also bring your form to a DCF Community Partner Network. Locations are also available through the DCF website.

Via phone – If you require phone assistance to fill out your Medicaid paperwork, you can dial 7-1-1, or call 1-866-762-2237. You can also request a Medicaid application get sent to your home by dialing the aforementioned number.

By mail – If you prefer to mail in your Medicaid application in Florida, you can easily do so. Whether you obtained your form online or via phone request in the mail, you must fill out the paperwork in its entirety, then mail it to:

ACCESS Central Mail Center

P.O. Box 1770

Ocala, FL

34478-1770

Florida Medicaid Eligibility Requirements

In order to receive Medicaid in Florida, you must qualify for eligibility. There are several factors that determine if you are eligible for Medicaid benefits. Generally, your earnings, your health records and the size of your household will determine your eligibility. Additional qualifying factors include:

  • Having a Social Security Number.
  • Proving your Florida residency.
  • Providing proof of U.S. Citizenship or qualified noncitizen status.

The following individuals are eligible for Florida Medicaid, given the numbers determined by the Federal Poverty Level (FPL):

  1. Pregnant women – With an income of less than or equal to 185 percent FPL.
  2. Infants under age 1 – With an income of less than or equal to 200 percent FPL.
  3. Children under age 19 – With an income of less than or equal to 133 percent FPL.
  4. Parents and other caretaker relatives – With an income of less than or equal to 19 percent FPL.
  5. Former children in foster care under 26 – There is no income limit for this group; qualifications are based on whether the child was receiving Medicaid when he or she aged out of foster care.

After you have been approved for Medicaid, note the renewal process occurs annually. It is your responsibility to report changes that may affect your eligibility for Medicaid within 10 days. Events that can affect your Medicaid eligibility once you are enrolled include:

  • Giving birth to a child.
  • Becoming pregnant.
  • An increase or a decrease in your earnings.
  • Loss of your job.
  • Any arrivals or departures of household members.
  • Changes in your living arrangements (relocation within the state or out of Florida).

Florida Medicaid Contact Information

If you have questions or concerns regarding Medicaid, you can reach out the Florida Department of Children and Families. The DCF is available to take calls Monday through Friday, from 8 a.m. to 5 p.m. You can call:

  • The Customer Call Center at 866-762-2237
  • Florida Relay via 7-1-1
  • TTY assistance at 800-955-8771

If you would like to visit an ACCESS Local Service Center to discuss a Medicaid application or eligibility issue in person, you can find the office nearest you by visiting the Florida DCF website.

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