Florida Medicaid Eligibility Requirements

This page provides general guidelines for the Florida Medicaid eligibility requirements. This is an assistance program that provides medical coverage for low-income people of all ages. The department that handles the Medicaid program is Florida Agency for Health Care Administration. If you have questions or issues about the Medicaid application or the eligibility requirements, contact the Florida Medicaid office.


Florida Medicaid Overview

Medicaid is a program for Florida residents who can't afford to pay for medical care.


Florida Medicaid Eligibility Requirements - Non Income

Must be a U.S. citizen or legal alien and Florida resident. Non-citizens that would be Medicaid eligible on all factors other than their citizenship status may be eligible for Medicaid to cover medical emergencies, including the birth 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.


Documents Needed For Florida Medicaid Application


Florida Medicaid Benefits

Covers ambulatory surgical centers, birth center services, child health checkup, chiropractic care, durable medical equipment and supplies, federally-qualified health centers, home health hospital inpatient/outpatient care, laboratory, licensed midwives, physician, podiatry prescriptions, rural health clinics, therapy, x-rays.


Florida Medicaid & CHIP Eligibility Levels

Below is the modified adjusted gross income (MAGI) eligibility levels for Florida Medicaid and Children's Health Insurance Program (CHIP).

Eligibility Levels - By Percentage Of Federal Poverty Level (FPL)

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: 206%
Age 1-5: 140%
Age 6-18: 133%
210% (1-18) Medicaid: 191%
CHIP: N/A
30% 0%

Eligibility Levels - Individual By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,003
Age 1-5: $1,362
Age 6-18: $1,293
$2,042 (1-18) Medicaid: N/A
CHIP: N/A
$292 $0

Eligibility Levels - Family Of Two By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $2,700
Age 1-5: $1,835
Age 6-18: $1,743
$2,753 (1-18) Medicaid: $2,504
CHIP: N/A
$393 $0

Eligibility Levels - Family Of Three By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $3,397
Age 1-5: $2,309
Age 6-18: $2,193
$3,463 (1-18) Medicaid: $3,150
CHIP: N/A
$495 $0

Eligibility Levels - Family Of Four By Monthly Income

Medicaid Expansion Medicaid Children Separate CHIP Pregnant Women Parents Other Adults
No
Age 0-1: $4,094
Age 1-5: $2,783
Age 6-18: $2,643
$4,174 (1-18) Medicaid: $3,796
CHIP: N/A
$596 $0