Preparing for the Public Health Emergency's "Unwind"
of Continuous Medicaid Coverage
___________________________________________________________________________________
Special Considerations for 19 & 20 Year Olds
December 2022
____________________________________________________________________________________
of Continuous Medicaid Coverage
___________________________________________________________________________________
Special Considerations for 19 & 20 Year Olds
December 2022
____________________________________________________________________________________
NOTE (Updated January 2023) | While this video is still a highly useful training tool, we now know that the end of Medicaid continuous coverage is no longer linked to the end of the Public Health Emergency. We also know that the income limits will be increasing with the recent release of 2023 federal poverty levels. The Florida income limits for family related Medicaid have not been updated. The video will be updated at that time.
The video was produced by Jay Jefferson and Miriam Harmatz of Florida Health Justice Project,
with support from the Florida Bar Foundation, the National Health Law Program, and Health Foundation of South Florida.
with support from the Florida Bar Foundation, the National Health Law Program, and Health Foundation of South Florida.
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 | The Public Health Emergency’s (PHE) “Unwind”
Overview of the purpose of the video, general topics covered, where to find additional helpful resources, background of the PHE’s continuous Medicaid coverage requirement.
02 min 40 sec | Florida’s Family Related Medicaid eligibility
Overview of family related coverage groups illustrating how income limits gradually decrease as children get older; and then become much lower when the child turns 19. (same low income level as parents/caregivers). BACK TO VIDEO
04 min 12 sec | Medicaid for 19-20 year olds
Materials related to 19 & 20 year old coverage group.
05 min 10 sec | Parents & caregivers who will lose Medicaid
They remain covered under PHE’s continuous Medicaid coverage requirements; they will lose Medicaid when the continuous coverage requirement ends, either because they are over income or no longer have a minor child. BACK TO VIDEO
05 min 39 sec | Many 19 & 20 year olds could keep Medicaid
Explanation of when they would remain eligible for Medicaid and special considerations.
09 min 38 sec | ACA marketplace options and local navigator resources
Many adults (parents/caregivers and 19-20 year olds) losing Medicaid will be eligible for health plan subsidies through the Federal Health Insurance Marketplace. Navigators with Florida Covering Kids & Families (FL-CKF), provide free outreach and enrollment service. BACK TO VIDEO
09 min 51 sec | Coverage gap
Information about the coverage gap: why it exists in Florida and 10 other state.
11 min 24 sec | 19 & 20 year olds: increased enrollment during PHE
The number of 19 & 20 years olds enrolled in Medicaid has more than tripled since the PHE began in March 2020. Many could remain eligible for Medicaid under certain circumstances, but they need to apply as a household of 1. They can discuss their eligibility and circumstances with Florida Health Justice Project.
12 min 26 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. BACK TO VIDEO
00 min 00 sec | The Public Health Emergency’s (PHE) “Unwind”
Overview of the purpose of the video, general topics covered, where to find additional helpful resources, background of the PHE’s continuous Medicaid coverage requirement.
- Public Health Emergency Website Page
- PHE video and portal materials
- Federal government materials on the PHE’s unwind
- DCF notices (including first renewal notice and final termination notice)
02 min 40 sec | Florida’s Family Related Medicaid eligibility
Overview of family related coverage groups illustrating how income limits gradually decrease as children get older; and then become much lower when the child turns 19. (same low income level as parents/caregivers). BACK TO VIDEO
04 min 12 sec | Medicaid for 19-20 year olds
Materials related to 19 & 20 year old coverage group.
- Youth who turned 19-20 since the PHE began
- DCF Program Policy Manual, see Coverage Groups, section 2030.0903, Children Age 19 to 21 (MFAM) at 11
05 min 10 sec | Parents & caregivers who will lose Medicaid
They remain covered under PHE’s continuous Medicaid coverage requirements; they will lose Medicaid when the continuous coverage requirement ends, either because they are over income or no longer have a minor child. BACK TO VIDEO
05 min 39 sec | Many 19 & 20 year olds could keep Medicaid
Explanation of when they would remain eligible for Medicaid and special considerations.
- Youth who turned 19-20 since the PHE began
- Family Related Medicaid Income Limits Chart
- PHE video and portal materials explaining how to use the family related income chart for calculating eligibility limits of different family members
- F.A.C. 65A-1.703 (1)(b);(2)(a)
- F.A.C. 65A-1.705 (2)(c)
- National Health Law Program Guide to MAGI
09 min 38 sec | ACA marketplace options and local navigator resources
Many adults (parents/caregivers and 19-20 year olds) losing Medicaid will be eligible for health plan subsidies through the Federal Health Insurance Marketplace. Navigators with Florida Covering Kids & Families (FL-CKF), provide free outreach and enrollment service. BACK TO VIDEO
09 min 51 sec | Coverage gap
Information about the coverage gap: why it exists in Florida and 10 other state.
- Status of state Medicaid expansion decisions l KFF
- A History of Florida’s Failure to Pass Medicaid Expansion
- Join the Coalition: Healthcare for Florida
- Florida Health Justice Project Medicaid Expansion Stories
11 min 24 sec | 19 & 20 year olds: increased enrollment during PHE
The number of 19 & 20 years olds enrolled in Medicaid has more than tripled since the PHE began in March 2020. Many could remain eligible for Medicaid under certain circumstances, but they need to apply as a household of 1. They can discuss their eligibility and circumstances with Florida Health Justice Project.
- Enrollment growth of 19-20 year old coverage group
- Creating an ACCESS account
- FHJP referral form English and Spanish
12 min 26 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. BACK TO VIDEO
