Office of Economic Self-Sufficiency
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: 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.
Permanent 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 Medicaid
Note: 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: