FL Medicaid Attorney - 727-260-2581
Florida Medicaid Eligibility
FL Medicaid provides Medical coverage to low income individuals and families.
Three basic groups are eligible for Medicaid:
- SSI beneficiaries
- Children and families
- Aged, blind and disabled people, including people needing institutional care
An individual must meet specific eligibility requirements in order to be enrolled in Medicaid. Each program has specific income and asset limits that must be met.
The applicant for Florida Medicaid must be a U.S. citizen or a resident alien and a resident of Florida. If you are seeking coverage for nursing home care it must be medically necessary that the person be placed in the nursing home.
Florida Residents may be eligible for full or limited benefits, depending on the program. Specific programs are listed and described later.
Medicaid eligibility in Florida is determined either by the Department of Children and Families (DCF) and the Florida Department of Elder Affairs (DOEA).
Families who lose Medicaid eligibility due to earned income may be eligible for up to 12 additional months of Medicaid, if they meet certain requirements.
Parents and caretakers may apply for Medicaid on behalf of their children under age 19 living in their home, if the family income meets asset and income criteria.
Noncitizens, who are Medicaid eligible except for their citizenship status, may be eligible for Medicaid to cover a serious medical emergency. This includes the emergency labor and delivery of a child. Before Medicaid may be authorized, applicants must provide proof from a medical professional stating the treatment was due to an emergency condition. The proof also must include the dates of the emergency.
Medicaid for low income individuals who are either aged (65 or older) or disabled is called SSI-Related Medicaid.
Florida residents who meet the medical criteria for Supplemental Security Income (SSI) are automatically eligible for Medicaid coverage.
Individuals who are not eligible for “full” Medicaid because their income or assets are over the Medicaid program limits may qualify for the Medically Needy program. Individuals enrolled in Medically Needy must have a certain amount of medical bills each month before Medicaid can be approved. This is referred to as a "share of cost" and varies depending on the household's size and income.
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.
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We are ready to help you determine if you can benefit from Medicaid Planning to pay for nursing home or assisted living facility placement. In fact our first telephone consultation is free to you.
For your free telephone consultation with Attorney Frazier regarding coverage for assisted living or nursing home care.
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