Medicaid Application Instructions
Apply for Medicaid for low-income families with children
When applying for Medicaid, you will get the answer within 45 days, which will be either approval or denial. Authorities will have to verify all eligibility factors within this time.
Family Related Medicaid can be applied retroactively, meaning individuals can receive benefits for up to three months before the month of making the application.
Apply online: Applicants can apply online by opening an account with ACCESS. Use THIS link to create your account.
Apply by fax or mail: Individuals looking to get application mailed to them can contact Atomated Response Unit by dialing 1-866-762-2237
Apply for Medicaid for children only
Apply Online: You can apply online for this program at www.myflorida.com/accessflorida/.
Apply by mail or fax. You can apply for Medicaid for children through fax or email.
- Print application HERE
- You can mail completed application to Florida Kidcare, P.O. Box 980, Tallahassee, FL 32302-0980
- You can email your application and documents to the address listed on this page
Children eligible for Medicaid can also receive benefits under Florida KidCare Program. In fact, Medicaid is a part of Florida KidCare program. Advantage of applying for Florida KidCare is that applications rejected due to higher income will be automatically transferred to Florida Healthy Kids.
You can find more information about this program HERE.
Apply for Medicaid for Pregnant Women
You can apply for Medicaid for pregnant women in three different ways
- Presumptively Eligible Pregnant Women (PEPW): This coverage is only available at local clinics and it is only temporary. However, when a pregnant woman qualifies for PEPW, her application is automatically sent to DCF, who will determine eligibility for ongoing Medicaid determination.
- Simplified Eligibility for Pregnant Women (SEPW): Pregnant women can get full coverage by applying through one page application. You will be required to print application so that you can mail it to ACCESS. You can also fax or return the application in person at an ACCESS office. You can download the application by clicking HERE.
- ACCESS application: You can apply for Medicaid benefits through regular process. Regular Medicaid provides benefits for pregnant women. You can apply through THIS link.
- You can apply for Medicaid for Pregnant Women electronically or by using this link to request application by mail or fax.
Apply for Emergency Medical Assistance (EMA) for non-citizens
Apply locally: You can apply through Local Service Center. Use THIS link to find a local center near you.
Apply online: You can apply online by clicking here.
In order to receive benefits through EMA, one has to provide a proof such as a medical professional's statement showing that the procedure was carried out in emergency. Such proof should also exhibit the date of such emergency.
Non-citizens will have to apply for benefits by filling an application and providing verification proof when asked. Non-citizens are exempt from Social Security Number and cooperation with Child Support Enforcement.
Non-citizens with a temporary stay in the U.S for tourism or business visit will not be able to receive benefits under Medicaid for aliens.
Apply for Medicaid for Aged or Disabled
Applying online: Individuals can apply for Medicaid electronically. All they have to do is to go to ACCESS Florida website and fill out the application forms there. The entire process can be completed online. You will automatically qualify for Medicaid if you are eligible for SSI. You can apply for SSI using this LINK. However, if you need nursing services, you will have to make sure that you are checking the box that asks for HCBS or Nursing Home on benefit information page. This program will provide services for assisted living so that individuals do not have to be institutionalized.
Applying through fax or mail: You can print application from ACCESS Florida website and mail or fax it to your local customer service center. You can find your nearest local customer service center by clicking here.
Apply for the Medically Needy
If you meet all the eligibility criteria for medically needy, you will have to provide a proof of your medical expenses to a DCF ACCESS office by mail, fax or in person. Such proof should include your name, case number, total amount of expense, date of expense, due date of payments and details of any payments you have made.
To get information about Medicaid in your area, you can find information about Area Medicaid Office using THIS link.
Eligibility for Medicaid for low-income families with children
- Applicant must be a U.S citizen or a qualified alien
- Applicants must be residents of Florida
- Applicant must be able to provide Social Security Number
- Applicants must be able to provide proof of their identity
- Applicants must cooperate with Child Support Enforcement
- Applicants must provide a proof of their earned income and assets should be
- Parents applying for Medicaid should have at least one child meeting all the eligibility criteria of Medicaid
- Resource limit for Medicaid is set at $2,000
- Family income should be below the TCA limit. You can see the complete TCA eligibility chart HERE.
- Relatives within specified degree of relationship can also receive benefits from Medicaid if they are caretakers of the eligible children.
- Applicants' assets should be below the limit, which is $2,000
Individuals receiving Temporary Cash Assistance (TCA) benefits will be eligible to receive Medicaid benefits if they qualify.
Although most factors in the eligibility criteria can be verified electronically but authorities can request a documents for manual verification.
Eligibility for Medicaid for Children Only
- Child should be under the 19 years of age/li>
- Child should be uninsured
- Child must meet the income eligibility for Medicaid
- Child should be a U.S. citizen or qualified alien
- Child should meet Medicaid general eligibility
- Income eligibility: In case of a child under the age of 1 year, family income should be less than 200% of federal poverty level. For child aged between 1 and 5 years, family income should be less than 133% of the federal poverty level. For children between 6 and 18, family income should be less than 100% of federal poverty level.
Medicaid for Pregnant Women Eligibility
Pregnant women will be able to enjoy benefits through presumptive eligibility. Presumptive Eligibility for Pregnant Women (PEPW) provides Medicaid to pregnant women in emergency who may need instant parental care. Women with income less than 185% of federal poverty level can qualify to receive Medicaid through PEPW.
Simplified Eligibility for Pregnant Women (SEPW) is another way to get qualified for full Medicaid cover. Pregnant women qualifying for PEPW can then apply for SEPW and get full coverage which would not be available with PEPW.
Emergency Medical Assistance (EMA) for non-citizens Eligibility
- Individual must have Medical Assistance basis of eligibility
- Individual must have a genuine medical emergency
- Individual must be a resident of Florida
Medical emergency purposes for EMA can include:
- Chronic medical condition which can place individual's health in dangerous condition if left unattended
- Chronic medical condition which can cause impairment to the body if left unattended
- Chronic medical condition which can cause some body organs to dysfunction if left unattended
- Individual has a sudden onset of conditions (physical or mental) that can result in acute symptoms
Eligibility for Medicaid for Aged or Disabled
Aged or disabled individuals can receive benefits through Medicaid program. SSI related Medicaid has a simple application process and it covers most medical requirements of such individuals.