Florida Application for Presumptive Eligibility for Medicaid
Description
How to fill out Application For Presumptive Eligibility For Medicaid?
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FAQ
Presumptive eligibility is a reasonable determination of eligibility made by Qualified Designated Provider (QDP) staff based on the countable income of the Medicaid Standard Filing Unit (SFU). The income must be less than or equal to 185% of the Federal Poverty Level (FPL). There is no asset limit.
Florida is an "Income Cap" state. This means that if a person's gross income is over $2,199 per month, then that person is ineligible for ICP Medicaid benefits.
Presumptive eligibility is a reasonable determination of eligibility made by QDP staff based only on the countable income of the pregnant woman. The income must be less than or equal to 185% of the Federal Poverty Level (FPL).
Presumptive Eligibility for Pregnant Women is immediate and temporary coverage for low-income women who are pregnant and might be eligible for Medi-Cal. Coverage is available for up to 60 days while you apply for ongoing Medi-Cal.
The Florida Department of Children and Families (DCF) determines the financial eligibility for Medicaid. Eligibility requirements are primarily based on the federal poverty level (FPL), with different categories having different FPL percentages for eligibility.
Pregnant Women A pregnant woman may qualify for Medicaid if her family's countable income does not exceed income limits. For pregnant women who do not meet the citizenship requirements for Medicaid, see the information below about Emergency Medical Assistance for Non-Citizens.