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You must file your appeal within 60 calendar days from the date on the Notice of Adverse Benefit Determination (letter) we send you. You may file your appeal by phone or in writing. If you file your appeal by phone, you must send us a written, signed notice (appeal letter) within 10 calendar days of your phone call.
If you are not enrolled in a health plan, call our Medicaid Helpline at 1-877-254-1055 or visit .ahca.myflorida.com/Medicaid. Call the Medicaid Choice Counseling Hotline at 1-877-711-3662 or visit .flmedicaidmanagedcare.com.
Proof of medical expenses can be submitted by fax, mail, or in person. Be sure to include your name and case number on medical expenses. Some examples of proof of medical expenses are: Medical bills an individual received. Receipts for medical bills.
Before Medicaid may be authorized, applicants must provide proof from a medical professional stating the treatment was due to an emergency condition. The proof also must include the date(s) of the emergency.
What Documents are Required for a Florida Medicaid Benefits Application? Verification of all active savings accounts, checking accounts, CDs, stocks, bonds, IRAs, annuities, brokerage/investment accounts, etc. Social Security card, Medicare card, Photo ID, Supplemental or Medicare HMO card, and Medicare D card.
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Each month certain medical expenses, called allowable medical expenses that you owe or have paid during the month are counted toward your share of cost. When the amount of allowable medical expenses is equal to your share of cost for a month, you will be eligible for Medicaid for the rest of that month.
During this past legislative session, Senate Bill 2502, was passed and signed into law by Governor Ron DeSantis. This bill stated that effective July 1, 2019, for nonpregnant adults, payments for Medicaid services can only be made retroactive to the first day of the month in which the application for Medicaid is filed.
If you have questions, please call 1-877-711-3662, TDD 1-866-467-4970, Monday through Thursday from 8 a.m. to 8 p.m.; Friday from 8 a.m. to 7 p.m. The call is free. Text your enrollment or frequently asked questions to 357662. Click here to create a FL Medicaid Member Portal account and send a secure message.

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