Get Fl Agency For Health Care Administration Request For Exceptional Claims Processing 2021-2025

You may contact the Elder Helpline at (800) 963-5337. What is the Medically Needy Program? The Department of Children and Families (DCF) determines eligibility for the Medically Needy Program. It may also be referred to as the “Share of Cost” program.

If you need help submitting a complaint, you can call our Medicaid Helpline at 1-877-254-1055 (TDD 1-866-467-4970). Staff are available to help you Monday through Friday, 8:00am to 5:00pm EST. Medicaid Helpline staff can also help you check on the status of a complaint submission.

In Florida, the Agency for Health Care Administration (Agency) is responsible for Medicaid.

To speak with a choice counselor: Contact the Statewide Medicaid Managed Care Help Line toll free at 1-877-711-3662, Telecommunications device for the deaf (TDD) 1-866-467-4970 or visit the website at .FLSMMC.com.

If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. The call is free. Text your enrollment or frequently asked questions to 357662. Click here to create a FL Medicaid Member Portal account and send a secure message.

Top. Straight Medicaid - Refers to Medicaid recipients who are not enrolled in a managed care plan and are receiving medical services on a fee-for-service basis. Also referred to as “regular Medicaid.”

Qualifying When Over the Limits In 2023, the Medically Needy Income Limit (MNIL) in FL is $180 / month for a single applicant and $241 / month for a married couple. The “spend-down” amount is the difference between one's monthly income and the MNIL.

If you are not enrolled in a health plan, call our Medicaid Helpline at 1-877-254-1055 or visit .ahca.myflorida.com/Medicaid. Call the Medicaid Choice Counseling Hotline at 1-877-711-3662 or visit .flmedicaidmanagedcare.com.

The Medically Needy program can help pay for. Medicaid-covered services. Individuals enrolled in the Medically Needy Program have income or assets that exceed the limits for regular Medicaid. A certain amount of medical bills must be incurred each month before Medicaid is approved. This is your “share of cost.”