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FAQ on Florida Medicaid

Medicaid is a government program that provides medical coverage to low-income individuals and families. The program is funded by the state of Florida as well as by the federal government. Eligibility for Medicaid in Florida is determined by the Florida Department of Children and Families (DCF) or the Social Security Administration for participants who are on SSI.

  1. What Does Florida Medicaid Cover?

    • Florida Medicaid covers a variety of health-related services. The Bureau of Managed Health Care monitors all Medicaid plan contracts in the state. Medicaid recipients may receive coverage for emergency care, preventative care, doctor's visits, inpatient and outpatient surgery, dental, vision and more. Services are also available for long-term care, prescription drug coverage, mental health and substance abuse. There are a variety of programs to assist recipients with all of their health care needs.

    Can My Entire Family Be Covered by Medicaid?

    • Families who meet state income limits and do not have countable assets that exceed $2,000 are eligible for Medicaid. This includes children up to age 18 and their parents and/or caretakers.

    Do I Qualify for Medicaid as an Individual?

    • You do not have to be a part of a family to receive Florida Medicaid, but you do have to meet certain requirements to qualify as an individual. Individuals who are age 65 or older or disabled qualify for SSI-Related Medicaid. Florida residents who qualify for Social Security Income are automatically eligible for Medicaid.

    Can I Apply for Medicaid for My Child Only?

    • Florida Medicaid is available to children only. Parents may apply for Medicaid on behalf of a child who is 19 or younger and still living at home. Eligible children may be enrolled in the Child Health Check-Up program, which provides regular checkups, health screenings and immunizations. The Florida KidCare program is a comprehensive medical plan for children that consists of four parts: Medikids for children age 1 to 4; Healthy Kids for children age 5 to 18; Children's Medical Services Network for children up to age 18 with special needs; and Medicaid for children from birth to age 18.

    If I Am Pregnant and Uninsured, Am I Eligible for Medicaid?

    • Pregnant women are "presumptively" eligible for temporary prenatal care by local clinics until a full Medicaid determination has been made. Pregnant women must meet income eligibility requirements. To qualify for full Medicaid coverage a pregnant woman's household income must be less than 185 percent of the federal poverty level for the size of the family. Once approved, care for prenatal exams, labor and delivery are covered.

    Is Medicaid Only Available to Florida Residents and U.S. Citizens?

    • In emergency situations noncitizens who would otherwise be eligible for Medicaid except for their citizenship status may be eligible for Florida Medicaid. This includes the emergency birth of a child.

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