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
- Social Security Number and Date of Birth
- Proof of Income
- Resources and Asset Information
- Housing Expenses
- Proof of U.S. Citizenship and Identity
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 |
|
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 |
|
$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 |
|
$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 |
|
$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 |
|
$4,174 (1-18) | Medicaid: $3,796 CHIP: N/A |
$596 | $0 |