How to renew your Florida Medicaid coverage

Last verified: June 2026

How Florida Medicaid renewal works

Florida reviews Medicaid eligibility annually. DCF processes renewals, not AHCA. The renewal process has two stages. First, DCF attempts an ex parte (automatic) renewal using data it already has from government sources — tax records, SSA data, and prior application information. If your income and circumstances haven't changed significantly, you may be renewed without taking any action.

If DCF cannot confirm eligibility from existing data, it sends a renewal notice. The notice arrives at least 45 days before your coverage end date. You must respond — failure to respond leads to termination of coverage, even if you remain eligible.

Renewals are completed through the MyACCESS portal at myaccess.myflfamilies.com, by calling (850) 300-4323, or in person at a DCF Family Resource Center.

Steps to complete your Florida Medicaid renewal

1. 1

   Keep your contact information current in MyACCESS

   Log in to MyACCESS and verify that your mailing address, phone number, and email are correct. DCF sends renewal notices by mail and email. An outdated address is the most common reason people miss renewals and lose coverage.

2. 2

   Watch for your renewal notice

   DCF sends notices 45 days before your coverage anniversary. Check your MyACCESS account inbox, physical mail, and email. Notices may be labeled "Notice of Eligibility Review."

3. 3

   Complete the renewal in MyACCESS

   Log in, click "Renew My Benefits," and follow the prompts. Update income, household composition, and any other changed information. Submit the renewal as quickly as possible after receiving the notice.

4. 4

   Upload any requested documents

   DCF may request proof of income, residency, or household changes. Upload documents through MyACCESS or bring them to a Family Resource Center. Missing documents are a common cause of unnecessary terminations.

5. 5

   Check your decision notice

   DCF will send an approval or denial. If approved, your coverage continues. If denied and you believe you are still eligible, you have 90 days to appeal. Request a fair hearing through DCF's Office of Inspector General.

What happened during the 2023–2024 unwinding — and what to do if your coverage was wrongly cut

From April 2023 through mid-2024, Florida processed renewals for the entire Medicaid caseload that had accumulated during the pandemic's continuous enrollment period. Florida enrolled as many as 5.5 million people at the peak; by mid-2024, the enrolled population had been reduced by roughly 2 million, per CMS data and KFF's tracker.

A significant share of those terminations were procedural — the person did not respond to the renewal notice, had an outdated address, or did not submit requested documents on time. CMS published guidance repeatedly during the unwinding encouraging states to reduce procedural terminations, but Florida processed disenrollments at a high rate regardless.

If you lost coverage during 2023–2024 unwinding and believe you were still eligible, you can reapply at myaccess.myflfamilies.com. Coverage can be backdated to the first of the month of application in many cases. An appeal may also be appropriate if you received a denial notice within the past 90 days.

Renewal checklist

• Confirm your MyACCESS contact information is current (address, phone, email)
• Know your coverage anniversary month — it appears on past notices and in your MyACCESS account
• Respond to renewal notices within the deadline — do not wait until the last day
• Have income documentation ready: recent pay stubs, award letters, or self-employment records
• Report any household changes proactively through MyACCESS rather than waiting for the renewal cycle
• If denied, request a fair hearing within 90 days of the denial date

Step-by-step: completing your Florida Medicaid renewal

1. 1

   Watch for your renewal notice

   DCF sends a renewal notice at least 45 days before your coverage anniversary date. It may come by mail, through your MyACCESS account, or by email if you have opted in. Keep your contact information current in MyACCESS year-round.

2. 2

   Check if ex parte renewal completed automatically

   DCF first attempts ex parte renewal using state data systems. If your eligibility can be confirmed electronically, you receive a notice that renewal is complete with no action needed. If not, a renewal form is sent.

3. 3

   Complete the renewal form if one was sent

   Respond online at myaccess.myflfamilies.com, by phone at (850) 300-4323, by mail, or in person at a DCF Family Resource Center. The form asks about household composition, income, and any changes since last renewal.

4. 4

   Respond to any document requests promptly

   If DCF needs income or identity verification, respond within the stated deadline. Missing the deadline is the most common reason for wrongful termination.

5. 5

   Confirm your renewed coverage

   After submitting, verify your coverage continued by logging into MyACCESS or calling (850) 300-4323. If you don't receive a renewal confirmation, follow up before your current coverage end date.

What to have ready for renewal

• Current mailing address and phone number updated in MyACCESS before your renewal date
• Recent income documentation if your earnings changed — pay stubs, award letters, or tax return
• Social Security numbers for all household members listed on the case
• Information about any new employer health insurance offered to you
• Household composition updates — anyone who moved in, moved out, had a baby, or passed away
• Report any changes within 10 days to avoid overpayments or coverage gaps

If your renewal is denied

A termination or denial notice must state the reason and explain your right to a fair hearing. In Florida, you have 90 days from the date of the notice to request a fair hearing. Filing within 10 days of the notice date (while you still have active coverage) triggers the "aid pending" right — your benefits continue during the hearing process.

Request a fair hearing by writing to DCF, calling (850) 300-4323, or submitting a request through MyACCESS. Free legal help is available through Florida Legal Services (800-405-1417) and local legal aid organizations.