Florida Medicaid

Florida Medicaid Health Insurance

Florida Medicaid is the state and federal partnership that provides health coverage for selected categories of people with low incomes.

Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children. Medicaid is different in every state.

Florida’s Health Insurance Marketplace

About myfloridachoices.org

Florida implemented the Medicaid program on January 1, 1970, to provide medical services to indigent people. Over the years, the Florida Legislature has authorized Medicaid reimbursement for additional services. A major expansion occurred in 1989, when the United States Congress mandated that states provide all Medicaid services allowable under the Social Security Act to children under the age of 21.

Florida’s Medicaid state plan is a large, comprehensive written statement describing the scope and nature of the Medicaid program. The plan outlines current Medicaid eligibility standards, policies and reimbursement methodologies to ensure the state program receives matching federal funds under title XIX of the Social Security Act. Florida Medicaid Application

There are several Florida Medicaid programs that provide services to individuals residing at home and/or pays for individuals residing in an assisted living facility or nursing home.

The applicant must meet certain medical and financial criteria, and must be a citizen or resident alien. The rules are different for single people than for married people.

Your homestead is exempt up to $500,000 in Florida (there is no limit if your spouse is living in the home).

Most people who are eligible for FL Medicaid have to reduce their assets first. There are rules about what is counted as an asset and what isn’t when determining Medicaid eligibility. There are also rules that require states to allow married couples to protect a certain amount of assets and income when one of them is in an institution (like a nursing home) and one isn’t.

Florida Medicaid Services

  • Not all providers accept Medicaid.
  • Not all services are covered by Medicaid.
  • Some limitations may apply to covered services.
  • Providers that choose to accept Medicaid must accept Medicaid payment as payment in full. (This does not include copayments and coinsurance.)
  • Medicaid has a set fee for each individual type of service and procedure.
  • Providers cannot bill the beneficiary for any amount in excess of Medicaid payment, other than Medicaid copays and coinsurance.
  • Medicaid payments are made directly to the provider, not to the beneficiary.

 

Florida Medicaid Websites | Florida Medicaid Planning | Qualify For Florida Medicaid | Apply For Florida Medicaid | FL Medicaid