Preparing for the Public Health Emergency's "Unwind"
of Continuous Medicaid Coverage
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The Impact on Florida Parents and Caregivers
July 2022
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of Continuous Medicaid Coverage
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The Impact on Florida Parents and Caregivers
July 2022
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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 “Unwind”
An overview for the purpose of the video, an outline of the general topics that will be covered, the background information for the Medicaid HCBS program and an explanation of the corresponding resource materials in the toolkit.
02 min 50 sec | Overview of Florida’s Medicaid Program
Details about the initial call to learn about the Program, the types of screening and assessment questions asked during the call and the next steps that occur after the call. BACK TO VIDEO
03 min 28 sec | Medicaid income limits for different family members
An explanation of how to calculate the income eligibility for different family members; and information on the Modified Adjusted Gross Income (MAGI) rules.
08 min 01 sec | Groups most at risk of losing Medicaid; and ex parte requirement
Tips for picking a plan, the available options for Miami-Dade County and steps for changing your Managed Care Organization.
11 min 02 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
12 min 29 sec | Family Planning Waiver (FPW)
Most women losing full Medicaid will be eligible for enrollment in the FPW. BACK TO VIDEO
12 min 58 sec | ACA marketplace options and local navigator resources
Many adults losing Medicaid will be eligible for health plan subsidies through Federal Health Insurance Marketplace. Covering Florida Navigators, part of Florida Covering Kids & Families (FL-CKF), provides free outreach and enrollment services BACK TO VIDEO
13 min 42 sec | Preparing for the PHE Unwind
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.
14 min 15 sec | PHE: Major increase in adult enrollment
Graph showing the number of parents and caregivers enrolled in Medicaid has more than doubled since the PHE began in March 2020 BACK TO VIDEO
14 min 35 sec | Coverage gap
Information about the coverage gap:
16 min 48 sec | Production credits
BACK TO VIDEO
Acknowledgements
The Florida Health Justice Project is deeply grateful to the Florida Bar Foundation, 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 “Unwind”
An overview for the purpose of the video, an outline of the general topics that will be covered, the background information for the Medicaid HCBS program and an explanation of the corresponding resource materials in the toolkit.
- Status of COVID-19 Public Health Emergency Declarations
- Examples of Current Notices from the Department of Children and Families
02 min 50 sec | Overview of Florida’s Medicaid Program
Details about the initial call to learn about the Program, the types of screening and assessment questions asked during the call and the next steps that occur after the call. BACK TO VIDEO
03 min 28 sec | Medicaid income limits for different family members
An explanation of how to calculate the income eligibility for different family members; and information on the Modified Adjusted Gross Income (MAGI) 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
08 min 01 sec | Groups most at risk of losing Medicaid; and ex parte requirement
Tips for picking a plan, the available options for Miami-Dade County and steps for changing your Managed Care Organization.
- Parents or caregivers whose income is above the eligibility limit
- Parents and caregivers whose youngest child turned 18
- Youth who turned 19-20 since the PHE began
- 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
11 min 02 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 overincome 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)
12 min 29 sec | Family Planning Waiver (FPW)
Most women losing full Medicaid will be eligible for enrollment in the FPW. BACK TO VIDEO
12 min 58 sec | ACA marketplace options and local navigator resources
Many adults losing Medicaid will be eligible for health plan subsidies through Federal Health Insurance Marketplace. Covering Florida Navigators, part of Florida Covering Kids & Families (FL-CKF), provides free outreach and enrollment services BACK TO VIDEO
13 min 42 sec | Preparing for the PHE Unwind
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”)
14 min 15 sec | PHE: Major increase in adult enrollment
Graph showing the number of parents and caregivers enrolled in Medicaid has more than doubled since the PHE began in March 2020 BACK TO VIDEO
14 min 35 sec | Coverage gap
Information about the coverage gap:
- The Coverage Gap: Uninsured Poor Adults in States that Do Not Expand Medicaid | KFF
- Reconciliation talks so far quiet on Medicaid Expansion
- A History of Florida’s Failure to Pass Medicaid Expansion
- Join the Coalition: Healthcare for Florida
- Florida Health Justice Project Medicaid Expansion Stories
16 min 48 sec | Production credits
BACK TO VIDEO
Acknowledgements
The Florida Health Justice Project is deeply grateful to the Florida Bar Foundation, the National Health Law Program and, Health Foundation of South Florida for their support of this project. BACK TO VIDEO
