How Long Does It Take To Get Medicaid In Florida
If you meet the income requirements, you may be able to find out immediately if you qualify for benefits.
However, it usually takes 30-60 days for the application process to be completed.
Once you are approved, it takes approximately 2-3 weeks to get a Medicaid card.
If you need proof of your Medicaid eligibility right away, you can print a temporary card from your MyACCESS Account.
Do You Have Questions
We are happy to help you. Call Staywell toll-free at 1-866-334-7927 , MondayFriday, 8 a.m.7p.m.
You can visit us too! We have Welcome Rooms throughout the state of Florida. Representatives are there to answer your questions. They can help with things like:
- Updating your address
- Changing your Primary Care Provider
- Ordering over-the-counter items and more
History Of Floridas Medicaid Program
Florida was one of the later states to implement a Medicaid, not adopting the program until January of 1970 .
Florida Medicaid spending grew 13.5% on average every year between 1980 and 2004. In an effort to slow that trend, Florida applied for and received approval for an 1115 waiver for its Medicaid Reform pilot. The pilot implemented managed care in two counties in 2006 and added three more counties in 2007 the waiver was extended several times.
In 2013, the federal government approved an amendment for statewide expansion of managed care the amendment also renamed Medicaid Reform as Managed Medical Assistance . Ninety percent of all Florida Medicaid beneficiaries are now enrolled in managed care plans, like health maintenance organizations . The state hopes to improve quality through better coordination of care and save money through smaller networks of providers.
Part of the reason Medicaid enrollment has grown is the extensive outreach on the part of ACA navigators some residents were already eligible for Medicaid or CHIP prior to 2014 , but werent aware of their eligibility until enrollment outreach efforts under the ACA. But since Florida hasnt expanded Medicaid, the newly insured population is covered according to the normal state/federal split.
Floridas decision not to expand Medicaid leaves nearly 400,000 people in the state in the coverage gap ineligible for Medicaid and also ineligible for tax subsidies to help them afford private health insurance .
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Guide To Port Charlotte Medicaid Office Locations In Florida
There are various Port Charlotte Medicaid office locations you can visit. Whether you want to apply for Florida Medicaid benefits or you have been receiving services for the program for a while, it is important that you know where your closest office is located. In order to apply for support at one of these Port Charlotte Medicaid offices, you need to be a legal resident in Florida.
Medicaid in Florida is managed partly by the state government. The other part of the program, however, is managed federally. This means that the Port Charlotte Medicaid office you go to needs to adhere to Florida and federal rules and regulations. Be sure you understand these requirements before you try to apply at your Port Charlotte Medicaid office. Otherwise, you could encounter delays with your application.
Healthy Start Momcare Network
The Healthy Start MomCare Network, Inc. is an administrative service organization representing all Healthy Start Coalitions under the provisions of s.409.975, F.S.
The Network is tasked with implementing services provided to Medicaid participants during pregnancy and after delivery under the states federal Medicaid waiver. The Network contracts with the state Agency for Health Care Administration and the coalitions to establish specific programs and procedures to improve pregnancy outcomes and infant health among Medicaid recipients, including, but not limited to, coordination with the Healthy Start program, immunization programs, and referral to the Special Supplemental Nutrition Program for Women, Infants and Children, and the Childrens Medical Services program for children with special healthcare needs. In addition, the Network coordinates with managed care plans in providing care for Healthy Start participants and monitors performance on specific measures to determine the adequacy, timeliness, and quality of services for pregnant women and infants.
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Medicaid For Aged Or Disabled
Medicaid for low-income individuals who are either aged or disabled is called SSI-Related Medicaid.
Florida residents who are eligible for Supplemental Security Income are automatically eligible for Medicaid coverage from the Social Security Administration. There is no need to file a separate ACCESS Florida Application unless nursing home services are needed.
Individuals may apply for regular Medicaid coverage and other services using the online ACCESS Florida Application and submitting it electronically. If long-term care services in a nursing home or community setting are needed, the individual must check the box for HCBS/Waivers or Nursing Home on the Benefit Information screen. HCBS/Waiver programs provide in-home or assisted living services that help prevent institutionalization.
Medicare Savings Programs help Medicare beneficiaries with limited finances pay their Medicare premiums and in some instances, deductibles and co-payments. Medicare Buy-In provides different levels of assistance depending on the amount of an individual or coupleâs income. Individuals may apply for Medicare Buy-In coverage only by completing a Medicaid/Medicare Buy-In Application.
Print the form, complete it and mail or fax it to a local Customer Service Center.
How To Find A Port Charlotte Medicaid Office In Florida
The Port Charlotte, Florida Medicaid office is accessible to all residents who live in the area. However, keep in mind that different offices may encourage you to schedule an appointment to apply onsite with representatives.
The list of Port Charlotte Medicaid offices are included below. Click on the Florida office you want to apply at to learn that facilitys contact information. Furthermore, remember that you can also use this feature to learn the following information about the different Medicaid offices in Port Charlotte:
- The offices contact information
- Where in Florida the facility is located
- If the Port Charlotte Medicaid office has a website
Start typing or scroll down to pick from the list of Port Charlotte Medicaid Office Locations
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Help With The Medicaid Application
When people initially apply for Medicaid through this portal, they are required to create accounts with usernames and passwords. This information should be kept in a secure location since it is needed to log in and access information.
For help with this and other questions, the Florida Medicaid phone number is 1-877-711-3662, TDD 1-866-467-4970. Hours of operation are Monday through Thursday 8 a.m. to 8 p.m. and Fridays 8 a.m. to 7 p.m. Frequently asked questions and enrollments can also be texted to 357662 or people without Internet access can call 1-888-367-6554 for assistance.
Guide To Bradenton Medicaid Office Locations In Florida
There are various Bradenton Medicaid office locations you can visit. Whether you want to apply for Florida Medicaid benefits or you have been receiving services for the program for a while, it is important that you know where your closest office is located. In order to apply for support at one of these Bradenton Medicaid offices, you need to be a legal resident in Florida.
Medicaid in Florida is managed partly by the state government. The other part of the program, however, is managed federally. This means that the Bradenton Medicaid office you go to needs to adhere to Florida and federal rules and regulations. Be sure you understand these requirements before you try to apply at your Bradenton Medicaid office. Otherwise, you could encounter delays with your application.
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My Birth Matters Tools And Other Resources
During a pregnancy, you and your OB-GYN will talk about your ideal birth plan. In other words, do you want to deliver vaginally or via a C-section? Here is some information that can help you make the decision thats right for you.
What is a full-term pregnancy?
A full-term pregnancy is a pregnancy that lasts between 39 weeks and 40 weeks. Babies born full-term have the best chance of being healthy, compared with babies born earlier or later. Babies are not fully developed until 39 weeks of pregnancy. Their brain, lungs, and liver are still developing.
What are the benefits of vaginal delivery?
Vaginal delivery avoids:
- All the potential risks associated with an operation
Following a vaginal delivery mothers:
- Are more alert
- Experience less pain and fatigue, and
- Heal more quickly and spend fewer days in the hospital compared to mothers who have a C-section
Babies born vaginally typically:
- Experience less respiratory problems
- Have less chance of infection
- Receive an early dose of good bacteria to boost their immune systems and protect their intestinal tracts, and
- Show more interest in breastfeeding
When is delivery by C-section medically appropriate?
The more common medical reasons when a C-section is appropriate include:
What are the risks associated with delivery by C-section?
Women who deliver by C-section tend to have:
- A slower return to normal activity
- Delayed or difficulty breastfeeding
How Do I Find My Florida Medicaid Number
Your Florida Medicaid identification number is not listed on your gold card. Your Florida Medicaid number is kept in your Florida Medicaid file.
Any Medicaid provider can use your gold card or health plans membership card to check the Florida Medicaid file to find out if you are eligible for Florida Medicaid services.
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How To Check Medicaid Status In Florida
In the United States, people can be eligible for free or low-cost healthcare through the federal Medicaid program, which is administered by states. After applying or, if they need to make changes afterward, people need to stay updated on their Medicaid status to make sure they are covered. States have different means of communicating this information, and Florida residents can use the Florida Medicaid Portal and the Florida Department of Children and Families website. Once a Medicaid application in Florida is complete, eligibility is determined by the Social Security Administration and the Department of Children and Families .
Before You Call The Florida Medicaid Phone Number
As we mentioned above, the Florida Medicaid phone lines are flooded with phone calls as a result of the fact that their offices have been closed during the pandemic.
Therefore, hold times are long when you call the phone number.
We have answered the top questions people call the Florida Medicaid Phone Number for.
Scroll down below to see if your question has been answered below.
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Provider Inquiry Newborn Spreadsheet
If you know the mother is pregnant, Medicaid eligible, and her unborn child does not have a number, you may have the baby added by emailing a password protected Master Unborn Provider Spreadsheet to the statewide DCF email address identified on the spreadsheet. This spreadsheet can also be used to contact DCF to request assistance regarding missing eligibility for newborns or issues concerning incorrect demographics such as discrepancies in dates of birth.
Please review the Provider Unborn Update Spreadsheet Completion Guide for further instructions on completing and submitting inquiries to DCF.
Finding Out You’re Pregnant Can Be Exciting And Overwhelming
Your baby is growing and your body is changing, and the more you know about whats happening in your body, the more in control youll feel. Thats why one of the most important things you can do is choose a prenatal care provider who can help you while youre pregnant. A provider who sees you regularly, can spot health problems early and can talk to you about how you can help your unborn baby.
Mothers in prenatal care have healthier pregnanciesmothers who are not in care are three times more likely to have a baby of low birth weight and five times more likely to have a baby who dies at birth.
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What Benefits Does Pregnancy Medicaid Provide
Similar to other health care assistance programs, Medicaid does not pay monetary benefits directly to covered participants. Certain health care providers and health care facilities have a contract with Medicaid to treat those who are covered by Medicaid insurance.
When receiving Medicaid benefits, you should be given a list of medical providers who accept Medicaid or given a website to look for a provider in your area. As long as you receive care from a Medicaid provider, your health care costs will be submitted through Medicaid and will be covered. Pregnant women are covered for all care related to the pregnancy, delivery and any complications that may occur during pregnancy and up to 60 days postpartum.
Additionally, pregnant women also may qualify for care that was received for their pregnancy before they applied and received Medicaid. Some states call this Presumptive Eligibility and it was put in place so that all women would start necessary prenatal care as early in pregnancy as possible.
Talk with your local office to find out if you qualify for presumptive eligibility.
Pregnant women are usually given priority in determining Medicaid eligibility. Most offices try to qualify a pregnant woman within about 2-4 weeks. If you need medical treatment before then, talk with your local office about a temporary card.
No Aca Medicaid Eligibility Expansion In Florida
Florida is one of 12 states that has not expanded Medicaid eligibility as allowed under Affordable Care Act . The ACA doesnt provide subsidies for people with income below the poverty level, because the law called for them to have Medicaid instead. But in states that have refused Medicaid expansion people who arent eligible for Medicaid and whose income is too low for exchange subsidies are in whats called the coverage gap.
Floridas eligibility standards are:
- Children up to 1 year old: 206% of the federal poverty level
- Children ages 1-5: 140% of FPL
- Children ages 6-18: 133% of FPL
- Pregnant women: 191% of FPL
- Adults with dependent children: 27% of FPL
People who qualify for Supplemental Security Income automatically qualify for Medicaid in Florida. See more information in the SSI-Related Programs Financial Eligibility Standards.
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If You Currently Have Marketplace Coverage
- If you want to keep your current Marketplace coverage, dont report your pregnancy to the Marketplace. When filling out your application for Marketplace coverage, select the Learn more link when we ask if youre pregnant to read tips to help you best answer this question.
- If you report your pregnancy, you may be found eligible for free or low-cost coverage through Medicaid or the Childrens Health Insurance Program . If you are found eligible for Medicaid or CHIP, your information will be sent to the state agency, and you will not be given the option to keep your Marketplace plan.
- If you keep your Marketplace coverage, be sure to update the application after you give birth to add the baby to the plan or enroll them in coverage through Medicaid or CHIP, if they qualify.
How Can I Determine If I Qualify For Medicaid
Qualifying for Medicaid is not as black and white as qualifying for most other government programs. Most government programs have some basic requirements along with very clear income guidelines to help individuals know if they qualify.But Medicaid has many ways that someone can qualifyand even though income makes up part of the eligibility requirements, it is not solely based on that. Even people with the lowest incomes may not qualify for Medicaid if they do not fall into one of the Medicaid groups.
And people who make a middle-range income may qualify if they fit one of the qualifying groups and can fall back on options such as share of cost
If you are pregnant and uninsured, Contact your local Medicaid office to find out if Medicaid is the right option for you.
Compiled using information from the following sources:
1. US Government Information
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What Is Medicaid In Florida
Medicaid is a federal and state health insurance program for people with a low income.
It provides free or low-cost health coverage to millions of Americans, including families and children, pregnant women, the elderly, and people with disabilities.
The Childrens Health Insurance Program offers health coverage to children in families with incomes too high to qualify for Medicaid, but who cant afford private coverage.
The Medicaid program is different in every state. The federal government sets the general guidelines and each state decides how to run the program.
Florida implemented the Medicaid program on January 1, 1970, to provide medical services to low-income people.
The Florida State Legislature determines who qualifies for Medicaid, what services will be covered, and how much to pay for the services.
The state agency that administers Florida Medicaid is the Agency for Health Care Administration .
Our Member Services Departmentcan Answer Your Questions
Community Care Plan members enrolled in our Medicaid plan can contact our team for help with many services.
If you are a Community Care Plan Medicaid member, please call us at for help with:
- Finding a provider
- Choosing or changing your Primary Care Provider
- Finding out if a service is covered
- Getting referrals
- Replacing a lost ID card
- Planning care for the birth of a new baby
- Explaining plan changes or benefit options
- Answering general plan questions
Community Care Plan values your care.If you have any concerns with your childrens Physical, Occupational or Speech Therapy Services, please call Yvie Noel at 622-3272.
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Florida Has Not Accepted Federal Medicaid Expansion
- 4,956,941 Number of Floridians covered by Medicaid/CHIP as of September 2021
- 1,378,000 Number of additional Florida residents who would be covered if the state accepted expansion
- 415,000 Number of people who have NO realistic access to health insurance without Medicaid expansion
- $6.6 billion Federal money Florida is leaving on the table in 2022 by not expanding Medicaid