Main AHCA Website

AHCA’s main website for information on Medicaid, Health Quality Assurance and the Florida Center for Health Information and Policy Analysis.

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Florida Health Information Network

This website provides information and resources relating to AHCA’s initiatives for Health Information Technology and Health Information Exchange.

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FloridaHealthFinder.gov

Provides health education and information to compare and locate health care providers in Florida to make well-informed health care decisions.

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AHCA Network of Websites

Resources

GENERAL INFORMATION

Guide

Information on the Florida Medicaid Program can be found in our Florida Medicaid guide.

Application

Applications for Medicaid are made through the Department of Children and Families (DCF). Call the toll-free number (866) 762-2237 or visit www.myflfamilies.com.

A person who moves here from another state, who had Medicaid in the prior state, has to apply for Medicaid in Florida. However, if they receive Supplemental Security Income (SSI) and had Medicaid in another state, they can contact Social Security to report their new address. Call Social Security’s toll-free number (800) 772-1213 or TTY (800) 325-0778, or visit www.ssa.gov.

Families who only want to apply for Medicaid for their children may submit a Florida KidCare application. Call the toll-free number (888) 540-5437 or visit www.floridakidcare.org.

Area Medicaid Offices

Our Area Medicaid Offices have a list of doctors, dentists, and specialists who serve Medicaid patients and they can answer questions about the program. To find the office that serves your county visit portal.flmmis.com/flpublic/Provider_FieldOffices/tabid/141/Default.aspx. However, if you are in a Medicaid health plan you need to contact the health plan for a list of Medicaid providers.

Eligibility

Three basic groups are eligible for Medicaid, if they meet specific income and asset requirements:

  • Children and families, including pregnant women
  • Recipients of Supplemental Security Income (SSI)
  • Seniors and people who are blind or have a disability

To find out if a person is eligible, submit an application to the Department of Children and Families. For more information visit www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash .

Medicaid Card

The Department of Children and Families provides Medicaid cards. For a replacement card, call the toll-free number (866) 762-2237.

If you were just approved for Medicaid it can take two to three weeks to receive the card. If you need proof of Medicaid eligibility right away, you can print a temporary proof of eligibility at www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash/general-program-information.

Medicaid Providers

Sign Up for Medicaid Health Care Alerts – Receive email notification of Medicaid policy clarifications and other health care information appropriate for your selected provider type. Also for additional provider information visit ahca.myflorida.com/Medicaid.

Medicaid Services

The type and amount of services Medicaid covers depends on the age of the beneficiary, the type of Medicaid program in which the beneficiary is enrolled, and the type of services determined medically necessary by the beneficiary’s primary doctor. Medicaid services may include: doctor, hospital, family planning (birth control, pregnancy and birth care), home health care, nursing home, hospice, transportation, dental and visual, prescription drugs, community behavioral health, and services through the Child Health Check-Up program, and other types of services.

For more information visit ahca.myflorida.com/Medicaid/flmedicaid.shtml.

Find Medicaid Doctors, Dentists & Specialists

Our Area Medicaid Offices have a list of doctors, dentists, and specialists who serve Medicaid patients and they can answer questions about the program. To find the office that serves your County visit portal.flmmis.com/flpublic/Provider_FieldOffices/tabid/141/Default.aspx.

Each Area Office’s page includes phone numbers and a “Contact Our Office” link where you can send an e-mail. Scroll down the page to find links to a list of doctors, dentists, and hearing and vision providers, as well as other Medicaid information. (The Area Offices also provide information for Medicaid providers, including training, handbooks, fee schedules, and more.)

However, if you are in a Medicaid health plan contact the health plan for a list of Medicaid providers.

Please be aware, doctors and other health care providers are not required to accept Medicaid patients or they may not be accepting new patients. When you call a provider, ask if they are accepting Medicaid patients. If you call the providers listed on the Area Medicaid Office website and still are unable to find a provider, contact the Area Medicaid Office and they will try to find a provider for you.

Choosing a Medicaid Managed Care Plan

Many Medicaid beneficiaries in Florida are required to enroll in some form of managed care, which may include MediPass, health maintenance organizations (HMOs), and provider service networks. A person chooses among the plans in their area of the state and sees providers who are a part of the plan. To learn more:

If a person lives in Broward, Baker, Clay, Duval or Nassau County call the toll-free number (866) 454-3959 or TDD (866) 467-4970 or visit www.FLMedicaidReform.com.

If a person lives in any other County call the toll-free number (888) 367-6554 or TDD (800) 653-9803 or visit www.MedicaidOptions.net.

Beneficiaries who are not required to enroll in a managed care plan may continue to receive services from any Medicaid-enrolled provider.

Discontinue Medicaid Enrollment

To stop Medicaid coverage you need to contact the Department of Children and Families. Within Florida call the toll-free number (866) 762-2237 or from outside of Florida write to a DCF district office. To find a list of district offices visit www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash/locate-service-center-your-area#svcctrs

Medicaid and Medicare

Medicaid and Medicare are two separate programs. Medicaid is a program for people who meet certain income and asset requirements and programs can vary from state-to-state. Medicare is a federal health insurance program for people who are age 65 or older, disabled persons, or those with end-stage kidney disease. Medicare eligibility is not based on income and basic coverage is the same in each state.

For questions about Medicare, call the toll-free number (800) 633-4227 or TTY (877) 486-2048 or visit www.Medicare.gov.

If a person is covered by both Medicare and Medicaid, the Florida Medicaid program may cover:

  • Medicare deductible (what a person pays before Medicare starts to pay for covered services);
  • A portion of Medicare co-payment and co-insurance (the cost a person shares with Medicare for some covered services);
  • Premiums paid for Medicare coverage; and/or
  • Some services or items Medicare does not cover (up to the amount Medicaid will cover).

If a person receives Medicare only, they may still be eligible for help with the above expenses through the following programs: Qualified Medicare Beneficiaries (QMB), Qualifying Individuals 1 (QI-1), and Special Low-Income Medicare Beneficiaries (SLMB). To apply for one of these programs call the Department of Children and Families’ toll-free number (866) 762-2237 or visit www.myflfamilies.com.

Refugee Assistance Program and Emergency Medicaid for Aliens

Refugee Assistance Program: This refugee program is funded through the U.S. Department of Health and Human Services, and provides short-term Medicaid for those who qualify. The Department of Children & Families oversees Refugee Services. To learn more visit www.myflfamilies.com/service-programs/refugee-services.

Emergency Medicaid for Aliens: Noncitizens, who are Medicaid eligible except for citizenship, may be eligible for Medicaid to cover a serious medical emergency. It covers only the medical emergency. Noncitizens who are tourists or are here for business are not eligible. Applications are taken at the Dept. of Children and Families. For more information visit the DCF website or call the toll-free number (866) 762-2237.

Termination, Denial or Reduction Appeal

You have the right to appeal any decision made about your Medicaid application or any reduction or termination of your benefits. You can request a hearing by contacting your local office at the Dept. of Children and Families. To find your local office visit www.myflfamilies.com/service-programs/access-florida-food-medical-assistance-cash/locate-service-center-your-area#svcctrs.

Transportation

To arrange transportation services under Florida Medicaid, contact the local office of the Florida Commission for the Transportation Disadvantaged. To find the office that serves your County visit www.dot.state.fl.us/ctd/contacts/ctcsbycounty.htm.



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