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Medicaid Attorney

Medicaid Coverage in Florida

Medicaid, the largest health insurance provider in the United States, serves over 65 million Americans and eligible individuals across all 50 states, Washington, D.C., and U.S. territories. Initiated by The Social Security Act Amendments of 1965, a historic move signed by President Lyndon B. Johnson on July 30, 1965, this program marked one of the most significant healthcare initiatives in U.S. history. It involves a collaborative effort between the federal government and state governments to offer basic healthcare coverage.

Under this significant alliance, states are required to provide certain essential benefits while also having the discretion to offer additional optional benefits. Each state independently designs and operates its Medicaid program, deciding on the nature, extent, duration, and range of services within the federal government's guidelines. atCause Law Office in Clearwater, a Medicaid benefits firm can provide detailed insights into Florida's Medicaid program and its eligibility criteria.

Florida Medicaid Coverage Details

Florida Medicaid ensures that beneficiaries across every state and territory have access to a range of essential services, which include:

  • Healthcare services in community health centers and rural clinics

  • Nursing facility care for individuals aged 21 and above

  • Medical care from physicians, nurse midwives, and nurse practitioners

  • Early and periodic screening, diagnostic, and treatment services

  • Family planning services and related supplies

  • Home healthcare for those qualified for nursing facility services

  • Laboratory and imaging services

  • Medical transportation

In Florida, Medicaid benefits are distributed through the Statewide Medicaid Managed Care program, comprising different segments:

  1. Managed Medical Assistance (MMA): This segment covers essential medical services, including visits to primary care or specialist physicians, hospital care, prescribed medications, specific mental health services, and transportation for these services.

  2. Long-Term Care (LTC): This component provides long-term care services either through nursing facilities, select assisted living centers, or at-home care. Eligibility for LTC services requires patients to be at least 18 years old and meet the criteria for nursing home level care.

  3. Dental Services: This crucial aspect of Florida Medicaid encompasses all designated dental services for both children and adults.

Qualifying for Florida Medicaid and How Our Attorney Can Assist


To be eligible for Florida Medicaid, you must meet several criteria: reside in Florida, be a U.S. citizen or hold a qualifying immigration status, require health insurance support, and either be 65 years or older, pregnant, or have a child under 18. Additionally, eligibility extends to those who are blind or disabled, or have a blind or disabled family member in the household, with a household income at or below the federal poverty level.

Navigating Florida's Medicaid eligibility and application process can be complex. atCause Law Office, an adept Medicaid Benefits Firm in Clearwater, offers expert guidance in determining eligibility and aid in the application procedure. If you've faced a denial in your Florida Medicaid application, call atCause Law Office at 727-477-2255 to find out how we can help. 

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