Medicaid is a medical assistance program that provides access to health care for low-income families and individuals. Medicaid also assists the elderly and people with disabilities with the costs of nursing facility care and other medical and long-term care expenses.

The Agency for Health Care Administration (AHCA) administers the Statewide Medicaid Managed Care (SMMC) Long-Term Care program, sets coverage policy, and gets those eligible for services enrolled in a LTC plan.

Applications for Florida Medicaid Waiver services (financial eligibility) are processed by the DCF. You may go to the DCF Public Benefits & Services website site or call DCF at 1- (866) 762-2237 for more information about Medicaid.

Provider Enrollment Provider Enrollment is responsible for enrolling qualified providers to receive Medicaid reimbursement for services rendered to Medicaid recipients. Provider Enrollment Help Line Information

Medicaid eligibility in Florida is determined either by the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients) while the Agency for Health Care Administration (AHCA) administers the Medicaid Program.

Home Health visits (skilled nursing and home health aide) for Medicaid recipients ages birth through end of life; and Private duty nursing and personal care services for Medicaid recipients under 21 years old.

SMMC plans by region [ 68.8 kB ] (view a map of regions and counties [ 156.2 kB ] ) are on the Agency’s Statewide Medicaid Managed Care website. Choice counselors are available by phone at 1-877-711-3662 to help recipients select a plan that best meets their needs.

Once born, providers can activate the Medicaid coverage by following the instructions listed below: Using the card control number, look up the baby's eligibility record using the Web portal, MEVS, FaxBack, or AVRS (for further information on verifying eligibility, please see the Florida Medicaid Provider General Handbook, Chapter 3).

There are five steps to the enrollment process.\爀屲First, an Enrollment application is submitted on the Florida Medicaid Web Po\൲tal via the Online Enrollment Wizard.\爀屲Next, the Enrollment Application is evaluated based on the enrollment rules.

2019年2月1日 · Retroactive eligibility allows a person applying for Medicaid to obtain Medicaid coverage prior to the month they applied. The retroactive period is up to 90 days prior to the month the Medicaid application is received by the Department of Children and Families.