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Ending The Continuous Medicaid
Coverage Requirement

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The Impact on Florida Families
April 2023
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The video was produced by Jay Jefferson and Miriam Harmatz of Florida Health Justice Project.
Note: Move the video playhead along the timeline to jump to specific points in the video. Topic timestamps are indicated below in the Portal Resource Materials.
​Portal Resource Materials

00 min 00 sec | Ending the Continuous Medicaid Coverage Requirement
An overview of the end of the pandemic-related continuous Medicaid coverage requirement; Department of Children and Families (DCF) Redetermination Plan and timeline, current DCF notices, purpose of the video, general topics covered. 
  • CMS: Unwinding and Returning to Regular Operations 
  • DCF Redetermination Plan 
  • DCF Timeline
  • DCF Notices 
​​BACK TO VIDEO

02 min 59 sec | Overview of Florida’s Medicaid Program 
Descriptions of the groups eligible for Medicaid in Florida because they are either in a low income family (child, parent/caregiver, pregnant) or are aged, blind, or disabled.
  • Groups eligible for Medicaid
  • Family-Related Medicaid Fact Sheet
  • SSI-Related Medicaid Fact Sheet 
​​BACK TO VIDEO

03 min 21 sec | Medicaid income limits for different family members 
An explanation of how to calculate the income eligibility for different family members and Medicaid eligibility rules. 
  • Family-Related Medicaid Income Limits Chart 
  • F.A.C. 65A-1.703; F.A.C. 65A-1.705  
  • National Health Law Program Guide to MAGI
  • FHJP chart –Family-Related Medicaid Income Limits 
  • FHJP chart –Florida Healthy Kids Income Limits 
​​BACK TO VIDEO

06 min 10 sec | Groups most at risk of losing Medicaid; and ex parte requirement
  • Parents or caregivers whose income is above the eligibility limit 
  • Parents and caregivers whose youngest child turned 18 
  • Children under 19 whose family income has increased
  • Federal regulation regarding renewal (42 CFR 435.916)
  • Florida rule regarding family-related redetermination (Fla Admin Code 65A-1.704(2)) 
  • DCF “ex parte” review policy for recipients losing SSI
​​​​BACK TO VIDEO

11 min 04 sec | Medically Needy Program
Those losing full Medicaid because they are over income for their current coverage category are enrolled in the Medically Needy program.     
  • Sample notice of Medicaid termination because over income and enrollment in Medically Needy
  • Medically Needy Program Information 
  • DCF ESS Policy Manual Relation of Share of Cost (Page 34, 2630.0500 SHARE OF COST (MFAM)) 
​​​​BACK TO VIDEO

12 min 36 sec | ​Family Planning Waiver (FPW)
Most women losing full Medicaid will be eligible for enrollment in the FPW.
  • Medicaid Family Planning Waiver 
​​​​BACK TO VIDEO

13 min 02 sec | ACA marketplace options and local navigator resources
Many adults losing Medicaid will be eligible for health plan subsidies through the Federal Health Insurance Marketplace. Covering Florida Navigators, part of Florida Covering Kids & Families (FL-CKF), provides free outreach and enrollment services. 
  • Covering Florida Statewide Navigator List
  • Local navigator map 
  • Form for requesting contact from Covering Florida 
​​BACK TO VIDEO

13 min 23 sec | Coverage Gap
Information about the coverage gap: 
  • The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid | KFF
  • A History of Florida’s Failure to Pass Medicaid Expansion
  • Join the Coalition: Healthcare for Florida
  • Florida Health Justice Project Medicaid Expansion Stories
​​​​BACK TO VIDEO

15 min 25 sec | Special Considerations for 19-20 year olds
While most 19-20 year olds will likely be terminated from Medicaid they are now over income, many could remain eligible for Medicaid under certain circumstances.
  • Youth who turned 19-20 since March 2020 
​​BACK TO VIDEO

17 min 53 sec | Increase in Medicaid adult enrollment since March 2020
Graphs showing the Medicaid enrollment increase of adults (parents & caregivers, 19-20 year olds)  between March 2020 and March 2023
  • Medicaid Adult Enrollment Increase (21+)
  • 19-20 year old increase
​​BACK TO VIDEO

18 min 39 sec | Preparing for redetermination
Below are useful links for those who may be disabled, those who do not yet have an online account with DCF, and those who need to update their address. 
  • Apply for benefits with the Social Security Administration 
  • Create an Access account with DCF
  • Update your Address (After log in scroll to “Update Address”)
​​​​BACK TO VIDEO

19 min 02 sec | Resources on filing an appeal
For clients whose termination notices appeal incorrect:
  • DCF’s online form for filing an appeal is here 
  • Florida’s legal aid programs and the counties they serve are listed on this Florida Bar Foundation website here 
  • Advocates & navigators can refer clients via this form: Termination referral form 
  • People impacted by the Medicaid “unwind,” including those losing coverage, are invited to share their stories here 
  • My DCF notice says Medicaid benefits are ending, what can I do? (​Español) (Kreyol ayisyen)
​​BACK TO VIDEO

19 min 13 sec | Production credits
​​​​​​​BACK TO VIDEO

Acknowledgements
The Florida Health Justice Project is deeply grateful to the National Health Law Program and  Health Foundation of South Florida for their support of this project.
  • Acknowledgement
​​​​​​​BACK TO VIDEO

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The Florida Health Justice Project, a nonprofit organization, recognizes that access to quality and affordable health care is a human right and engages in comprehensive advocacy to expand healthcare access and promote health equity for vulnerable Floridians.
A COPY OF THE OFFICIAL REGISTRATION AND FINANCIAL INFORMATION MAY BE OBTAINED FROM THE DIVISION OF CONSUMER SERVICES BY CALLING TOLL FREE WITHIN THE STATE AT 1-800-435-7352 .  IT CAN ALSO BE FOUND AT WWW.800HELPFLA.COM.  REGISTRATION DOES NOT IMPLY ENDORSEMENT, APPROVAL OR RECOMMENDATIONS BY THE STATE.
  • Our Work
    • Ending Continuous Medicaid Coverage
    • ACA, Medicaid and Medicare Defense
    • Care for Uninsured
    • Connecting Kids to Coverage
    • COVID-19 >
      • COVID-19 Resources & Publications
      • COVID-19 Dashboard
    • Elder Health
    • Immigrant Health
    • LGBTQ+ Health
    • Litigation
    • Maternal Health
    • Medicaid Expansion
    • Resources >
      • Recursos en Español
  • STORIES Project
  • Publications
  • About
    • Our Approach
    • Team
    • Board of Directors
    • Advisory Board
  • Contact
  • Donate