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Florida Medicaide provides Medical coverage to low income individuals and families. The state and federal government share the costs of the FL Medicaide program. Medicaide services in Florida are administered by the Agency for Health Care Administration.


Medicaide eligibility in Florida is determined either by the Department of Children and Families (DCF) or the Social Security Administration (for SSI recipients).


DCF determines Florida Medicaide eligibility for:

  • Low income families with children
  • Children only
  • Pregnant women
  • Non-citizens with medical emergencies
  • Aged and/or disabled individuals not currently receiving Supplemental Security Income (SSI)

As life expectancies and long term care costs in the United States continue to rise, the challenge quickly become how to pay for these services. Many seniors cannot afford to pay $7,500 to $11,000 per month or more for the cost of a Florida nursing home, and those who can pay for a while may find their life savings wiped out in a matter of months, rather than years.


Contact a Florida Medicaide attorney if you are doing Medicaide planning in the event you need to go to a nursing home. This is a very complicated area of law and you need quality legal assistance to ensure that you take full advantage of the law without doing anything illegal.


Medicaide is health insurance that helps many people who can't afford medical care pay for some or all of their medical bills. Medicaide is available only to people with limited income.  You must meet certain requirements in order to be eligible for Medicaide.


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Medicaide does not provide medical assistance for all people with limited incomes and resources. Even under the broadest provisions of the Federal statute (except for emergency services for certain persons), the Medicaide program does not provide health care services for everyone.


You must qualify for Florida Medicaide.  Low-income is only one test for Medicaide eligibility; assets and resources are also tested against established thresholds. As noted earlier, categorically needy persons who are eligible for Medicaide may or may not also receive cash assistance from the Temporary Assistance for Needy Families (TANF) program or from the Supplemental Security Income (SSI) program. Medically needy persons who would be categorically eligible except for income or assets may become eligible for Medicaide solely because of excessive medical expenses.


Medicaide for Low Income Families With Children


Children up to age 18 and their parents or caretaker relatives may be eligible for Medicaide if the family’s countable income does not exceed the income limits and countable assets are not above $2,000.

  • Individuals who receive Temporary Cash Assistance (TCA) are eligible for Medicaide. Individuals who are eligible for TCA, but choose not to receive it, may still be eligible for Medicaid.
  • Families who lose Medicaide eligibility due to earned income may be eligible for up to 12 additional months of Medicaide, if they meet certain requirements.
  • Families that lose Medicaide eligibility due to child support or alimony may be eligible for 4 additional months of Medicaid.

Medicaide Coverage may start retroactive to any or all of the 3 months prior to application, if the individual would have been eligible during the retroactive period. Coverage generally stops at the end of the month in which a person's circumstances change. Most States have additional "State-only" programs to provide medical assistance for specified poor persons who do not qualify for the Medicaide program. No Federal funds are provided for State-only programs.


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