MedicaidMedicaid provides medical coverage to low-income individuals and families. The state and federal government share the cost of the Medicaid program. Medicaid services in Florida are administered by the Agency for Health Care Administration. Show
Medicaid eligibility in Florida is determined either by the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients). DCF determines Medicaid eligibility for: - Parents and caretakers relatives of children- Children- Pregnant women- Former Foster Care Individuals- Non-citizens with medical emergencies- Aged or disabled individuals not currently receiving Supplemental Security Income (SSI)Individuals may apply for assistance online at: www.myflorida.com/accessflorida/ Additional information about Medicaid for low income families is available in the Family-Related Medicaid Fact Sheet. Information regarding income limits can be found on the Family-Related Medicaid Income Limits Chart. If an individual wants to apply using a paper application, the Family-Related Medical Assistance Application is for individuals who desire to apply for medical assistance only. If the individual wants to apply for other programs, such as Temporary Cash Assistance and/or food assistance the individual must complete the ACCESS Florida Application. Two paper applications will be required if the individual is requesting Family-Related Medicaid in addition to other programs. Applications for individuals not determined eligible for Medicaid will be referred electronically to the Federally Facilitated Marketplace or Florida KidCare. For more information about the Federally Facilitated Marketplace and Florida KidCare, visit these websites: www.healthcare.gov and www.floridakidcare.org Florida Medicaid enrolled hospital providers may elect to make presumptive eligibility determinations in accordance with federal law and state policy. Qualified hospitals (QH) may make presumptive eligibility determinations for: pregnant women, infants and children under age 19, parents and other caretaker relatives of children, and individuals under age 26 receiving Medicaid when they aged out of Florida foster care. Medicaid providers may access the Agency for Health Care Administration’s website at http://ahca.myflorida.com/Medicaid/QHPE/index.shtml for additional information about the provider enrollment process. Medicaid CardsPermanent gold Medicaid cards are issued for each individual who is eligible for Medicaid. The Medicaid card should be presented to medical providers when medical care is being requested. To request a replacement card, call 850-300-4323. Those on Medicaid can print a temporary Medicaid card from their MyACCESS Account. Further information on Medicaid services is available from the Agency for Health Care Administration. Medically Needy (Share of Cost)Individuals who are not eligible for "full" Medicaid because their income or assets are over the Medicaid program limits may qualify for the Medically Needy program. Individuals enrolled in Medically Needy must have a certain amount of medical bills each month before Medicaid can be approved. This is referred to as a "share of cost" and varies depending on the household's size and income. Once an individual meets the share of cost for the month, the individual must contact DCF to complete bill tracking and approve Medicaid for the remainder of the month. Information about this program can be found in the Medically Needy Brochure (Español) ( Kreyòl). Medical Help for Those Not Eligible for MedicaidNote: The following programs are not under the Department of Children & Families. Individuals who are not eligible for Medicaid may get help with the cost of prescription drugs through:
For information about other assistance programs, visit the links for Food Assistance and Temporary Cash Assistance Program. Hurricane Ian ReliefCOMMUNITY
MEMBERSMedication Refills: Gov. Ron DeSantis declared a state of emergency for Alachua, Baker, Bay, Bradford, Brevard, Broward, Calhoun, Charlotte, Citrus, Clay, Collier, Columbia, DeSoto, Dixie, Duval, Escambia, Flagler, Franklin, Gadsden, Gilchrist, Glades, Gulf, Hamilton, Hardee, Hendry, Hernando, Highlands, Hillsborough, Holmes, Indian River, Jackson, Jefferson, Lafayette, Lake, Lee, Leon, Levy, Liberty, Madison, Manatee, Marion, Martin, Miami-Dade, Monroe, Nassau, Okaloosa, Okeechobee, Orange, Osceola, Palm Beach, Pasco, Pinellas, Polk, Putnam, Santa Rosa, Sarasota, Seminole, St. Johns, St. Lucie, Sumter, Suwannee, Taylor, Union, Volusia, Wakulla, Walton, Washington counties. You may refill your prescriptions early in those counties. Contact your pharmacy for information. Member Services: As of October 19, 2022, Sunshine Health and CMS Member Services are open as usual from 8 a.m. to 8 p.m. Monday-Friday. Members call any time to reach our 24-hour Nurse Advice Line.
Call or text SAMHSA’s Disaster Distress Helpline if you are experiencing emotional distress related to the storm: 1-800-985-5990. Help is available 24/7 in multiple languages. Call Magellan Health’s help line at 1-800-327-7451 for mental health support and details on other resources. Our Crisis Line is also open 24/7 to help members. Call the member services number above. Press 1, then star to reach the Crisis Line. Note: We will update this website as new information is available. Call 911 if you have a medical emergency. PROVIDERSTo support providers and help keep our members safe through Hurricane Ian, Sunshine Health is implementing temporary flexibilities to our prior authorization processes. Read more. Remember the 988 Suicide & Crisis Lifeline Dial 988 for confidential, free, 24/7/365 support from a trained counselor for mental health, substance use or suicidal crisis. Flu Season Is HereA flu shot is the best way to protect yourself and those close to you from the flu. Schedule yours today! Learn more about your flu shot benefit. What are the types of Medicaid in Florida?In Florida, most Medicaid recipients are enrolled in the Statewide Medicaid Managed Care program. The program has three parts: Managed Medical Assistance, Long-Term Care, and Dental.
How do I choose a Medicaid plan in Florida?Online: go to the Florida Statewide Medicaid Managed Care website at www.flmedicaidmanagedcare.com. By phone: call the Choice Counseling Helpline toll-free at 1-877-711-3662 (TTY 711) Monday through Thursday from 8 a.m. to 8 p.m. and Friday from 8 a.m. to 7 p.m. An enrollment broker can answer any questions you have.
What is straight Medicaid in Florida?Straight Medicaid - Refers to Medicaid recipients who are not enrolled in a managed care plan and are receiving medical services on a fee-for-service basis. Also referred to as “regular Medicaid.”
What type of insurance is Florida Medicaid?Florida Medicaid (FL HealthNet) is health insurance for people with low incomes. You might be able to get Medicaid in Florida if you're pregnant, have children or live with a disability. In some cases, other adults also may qualify.
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What are the different types of medicaid plans in florida
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