Access to Healthcare Blog

In Florida, the Department of Children and Families (DCF) determines eligibility for Medicaid, while the Agency for Health Care Administration (AHCA) administers the Medicaid program. Medicaid is health insurance coverage for low-income individuals and families. Due to the federal Public Health Emergency, the Department of Children and Families, as required by the federal government, implemented processes to maintain Medicaid coverage for individuals, regardless of their financial eligibility.

This resulted in the number of Medicaid recipients growing from 3.8 million to 5.5 million. As the continuous coverage requirement came to an end on March 31,2023 DCF returned to its standard Medicaid review process, ensuring eligible recipients will continue to remain enrolled. As a valued partner of Humana, we are sharing the attached packet of resources and education on the state’s Redetermination Plan – including materials we encourage your organization to make available to the clients you serve. To learn more about Medicaid Redetermination, follow this link: Medicaid Redetermination | Florida DCF (myflfamilies.com).

Key Information Florida wants recipients to know about their Medicaid coverage:

• Be on the lookout for notices or letters from DCF over the next 12 months. Letters will likely arrive in a yellow striped envelope.
• Ensure contact information is up to date by logging into MyACCESS.
• If a recipient is still eligible for coverage and DCF is able to auto renew their coverage, they will. If this occurs, the recipient will receive an approval letter when coverage has been renewed.
• If coverage is not able to be auto renewed, a notice will be sent out. If action is not taken, they may those their coverage.
• If the recipient is no longer eligible for Medicaid, there are other options. Applications for individuals determined ineligible for Medicaid will be automatically referred electronically to Florida KidCare, the Medically Needy Program, and the Federal Marketplace.
• For more information about Medicaid or to locate additional resources, you can visit the Medicaid Redetermination Frequently Asked Questions page at myflfamilies.com/Medicaid.