Applying for Medicaid in Florida

Doctor examining girl
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Medicaid provides low-income Florida families with free or low-cost medical insurance to provide a basic level of medical care to all Florida residents. Applying for Medicaid is a fairly complex process, requiring different steps based upon the manner in which you qualify. Some require the involvement of only the state government, while others involve the federal Social Security Administration.

Eligibility

  • Low-income families with children
  • Child-only coverage
  • Pregnant women
  • Non-citizens with medical emergencies
  • Aged or disabled individuals

Qualifications for Low-Income Families With Children

  • Family income below the limits for Temporary Cash Assistance (TCA). As of 2011, the limit is $364 for a family of four and increases approximately $62 for each additional family member.
  • Countable assets less than $2,000 (excluding your homestead)

Qualifications for Children Only

  • Under age 1 with family income less than 200% of the federal poverty guidelines.
  • Ages 1 through 5 with family income less than 133% of the federal poverty guidelines.
  • Ages 6 through 18 with family income less than 100% of the federal poverty guidelines.

Qualifications for Pregnant Women

  • The quickest way is the Presumptive Medicaid Eligibility for Pregnant Women (PEPW) process. To obtain this coverage, your family income must be less than 185% of the federal poverty guidelines. You apply for this coverage in person at a public hospital, the county health department or state-approved healthcare providers. It is only good for 60 days and is designed to provide you access to care while you apply using the SEPW process.
  • You may obtain longer-term coverage using the Simplified Eligibility for Pregnant Women (SEPW) process. You must provide proof that your income is less than 185% of the federal poverty guidelines, that you are a US citizen, and that you are pregnant.