Medicaid is the state and federal partnership that provides health coverage for selected categories of people with low incomes. Its purpose is to improve the health of people who might otherwise go without medical care for themselves and their children. Medicaid is different in every state. Eligibility for Medicaid is determined by the following agencies:
- The Social Security Administration (SSA) determines eligibility for Supplemental Security Income (SSI);
- The Florida Department of Children and Families (DCF) determines eligibility for low-income children and families, aged persons, disabled persons, and persons seeking institutional care;
- Florida Healthy Kids Corporation determines eligibility for MediKids.
- The Agency for Health Care Administration (AHCA) is the single state agency responsible for Medicaid.
AHCA utilizes Provider Fee Schedules and Provider Handbooks to define the criteria and requirements for Medicaid services and providers. The Florida Medicaid Provider General Handbook, along with the servicespecific “Coverage Policies” or “Coverage and Limitations and Reimbursement Handbooks” provide detailed information about Florida Medicaid services. Listed below are some of the most used policies/handbooks for individuals with Medicaid. Click here to see a complete list of Medicaid handbooks.