RETURN TO PRE-PANDEMIC MEDICAID ELIGIBILITY
AND OPERATIONS
RETURN TO PRE-PANDEMIC MEDICAID ELIGIBILITY
In the face of COVID-19, states received significant additional federal funding in order to continue the Medicaid coverage of individuals enrolled in the program as of March 2020 and until the end of the Public Health Emergency (also referred to as the “PHE”). In early 2023, Congress “de-linked” the requirement of continuous Medicaid from the end of the PHE and provided that the continuous Medicaid coverage requirement would end on March 31, 2023.
Under Florida’s redetermination plan, the Department of Children and Families (DCF) began redetermining the eligibility of Florida’s enrollees and sending termination notices to those deemed no longer eligible or who failed to complete their renewal within 30 days. This process of redetermining eligibility, which will continue to April 2024, is referred to as the “unwind.”
It is critical that all Medicaid recipients update their information, including address and if they cannot work due to disability, with the Department of Children and Families. Also, because the DCF termination notices are often confusing and can be wrong, it is important that recipients and their advocates understand Medicaid eligibility rules, how to request assistance and how to file an appeal. See below for more information and keep checking this page for updates.
Under Florida’s redetermination plan, the Department of Children and Families (DCF) began redetermining the eligibility of Florida’s enrollees and sending termination notices to those deemed no longer eligible or who failed to complete their renewal within 30 days. This process of redetermining eligibility, which will continue to April 2024, is referred to as the “unwind.”
It is critical that all Medicaid recipients update their information, including address and if they cannot work due to disability, with the Department of Children and Families. Also, because the DCF termination notices are often confusing and can be wrong, it is important that recipients and their advocates understand Medicaid eligibility rules, how to request assistance and how to file an appeal. See below for more information and keep checking this page for updates.
State Redetermination Data (Updated November 2023)
New Medicaid Appeal Toolkit
Ending the Continuous Medicaid Coverage Requirement | The Impact on Florida Families
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Medicaid is complicated, and many recipients going through the redetermination process will need help. For those who are terminated from Medicaid, this includes help in understanding if their Medicaid termination notice is correct.
The video and related portal materials have been created as a training tool and resource for legal services staff, navigators, and others who are assisting recipients during the “unwinding” of the pandemic-related continuous Medicaid coverage requirement. See Training Materials Discussed in Video |
Advocate Referral Form
Eligibility Assessments for Individuals Receiving Termination Notices
Eligibility Assessments for Individuals Receiving Termination Notices
If Your Medicaid Coverage Was Terminated
Resources
Advocate Q & As: Florida Medicaid Recipients Most at Risk
Eligibility Tools
PRESENTATIONS/SLIDE DECKS
Storytellers
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Sandra
Duval County, FL After DCF mistakenly sent notices to the wrong address, Sandra’s children lost their Medicaid and much needed health care coverage. Read Her Story |
outreach materials for medicaid enrollees and providers
FHJP Voices in the News
August 26, 2023 |
FHJP'S Alison Yager quoted on the benefits of expanding Medicaid to close the coverage gap.
Read Article Here August 16, 2023
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FHJP's Katy DeBriere quoted on the plight of one family whose severely disabled son wrongly lost Medicaid.
Read Article Here July 20, 2023 |
