Medicaid State Plan

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 Florida Medicaid Summary of Services booklet is intended to be a quick reference to Medicaid services.

This summary provides an overview of Florida Medicaid services as well as information on Medicaid eligibility and managed care programs.

Everyone should refer to the Florida Medicaid Provider General Handbook or the service-specific Coverage and Limitations and Reimbursement Handbooks for more detailed information about Florida Medicaid. Listed below are some of the most used handbooks for individuals with Medicaid. The total list of Medicaid handbooks may be located at here.

Child Health Check

The Purpose of the Child Health Check–Up program is to provide the following services to children from birth through age 20:

  • Comprehensive, preventive, well child care on a regularly scheduled basis;
  • Identification and correction of medical conditions before the conditions become serious and disabling; and
  • An entry into the health care system.