Phone Number : 1-866-762-2237
Medicaid 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.
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:
Individuals may apply for assistance online at: http://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 Healthy Kids. For more information about the Federally Facilitated Marketplace and Florida Healthy Kids, visit these websites: www.healthcare.gov and www.healthykids.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.