Learn about the Medicaid Rules changes

The Department of Children and Families (DCF) has begun reviewing Medicaid eligibility for approximately five million Floridians. Groups likely to be impacted are:

• Young people who have recently turned 19 or 20 and those who used to be in foster care who are now over age 26.
• Parents & caregivers whose income is now too high to qualify for Medicaid, or no longer have a minor child.
• Aged & disabled individuals who are now eligible for Medicare.

Medicaid is a joint federal and state program that provides healthcare coverage to low-income individuals and families. In Florida, Medicaid is administered by the Agency for Health Care Administration (AHCA).

Florida has made several changes to its Medicaid program in the past, including implementing a statewide Medicaid managed care program in 2014. This program requires most Medicaid beneficiaries to enroll in a managed care plan, which coordinates their healthcare services and helps them access necessary care.

Additionally, in 2021, Florida passed a bill that makes significant changes to its Medicaid program. The bill includes provisions to require Medicaid beneficiaries to work or participate in job training programs to maintain their eligibility, impose copayments for certain Medicaid services, and limit retroactive Medicaid eligibility to 30 days before the application date.

These changes are intended to reduce Medicaid costs and promote self-sufficiency among beneficiaries. However, they have also been controversial, with critics arguing that they will lead to many low-income individuals losing their healthcare coverage.

It’s important to note that the changes to Florida’s Medicaid program may continue to evolve over time, and you should stay informed about any updates or changes that may affect you or your family’s healthcare coverage.

You can contact the Florida Agency for Health Care Administration for more information on the state’s Medicaid program at myflfamilies.com.

If you’re enrolled in Medicaid online, we urge you to visit the Florida MyAccess website now and ensure your address and contact information is up to date! If you received a Redetermination Notice, are worried about losing Medicaid, or have any other questions, please contact Care Resource for help at 305.576.1234 Ext. 211.