Medicaid Income Limits for Florida

According to the AHCA, approximately half of Florida Medicaid participants are children.

According to the Florida Agency for Health Care Administration (AHCA), nearly 3 million people participate in the Florida Medicaid program. This program provides a wide range of medical options for low-income families and children, including scheduled health check ups, dental screenings, immunizations and many other services. To qualify for coverage under the Florida Medicaid program, individuals and families must meet specific income requirements. Some of these requirements may be waived for people who are disabled, aged or pregnant.

Low Income Families with Children

Low-income families, with children aged 18 years or younger, may qualify for coverage under the Florida Medicaid program. This qualification is dependent on several criteria, including a family income less than the applicable limit and total worth of all countable assets less than $2,000. Family income limits are based on the size of the household and are calculated as a percentage of the Federal Poverty Level (FPL). For example, a household of four people would have to prove income of less than $364 per week. An income chart for various household sizes is provided in the Reference section.

Medicaid for Children

Children under 19 years of age, still living at home, can qualify for Medicaid coverage if the total family income does not exceed the limit. Children whose family income disqualifies them for regular Medicaid coverage can apply for coverage under the Florida KidCare (FKC) program, which includes Medicaid coverage. The family income limit to qualify for FKC is calculated as 200 percent of the FPL.

Medically Needy

Also referred to as Share of Cost, the Florida Medicaid Medically Needy program is specifically designed for individuals who are not eligible for full Medicaid benefits because of income. Under this program, the cost of medical treatment is shared between the participant and the state. Income limits for the Medically Needy program are based on household size. For example, a household of three people must prove an income of less than $303 per week. An income chart for various household sizes is provided in the Reference section.

Medicaid for Aged or Disabled

Floridians who are disabled or are aged 65 years or older may qualify for Supplemental Security Income (SSI)-related Medicaid. This program sets income limits independent from the regular Medicaid program. For example, according to the January 2010 Financial Eligibility Standards chart, a couple participating in a Social Security managed program would be allowed income of $1,011 per month. An individual under this same program would be limited to income of less than $674 per month.

Assets

Factored in conjunction with income limits, the total worth of assets allowed varies, depending on the situation and program. For example, a couple participating in the SSI-related program, managed by Social Security, would be allowed up to $3,000. Alternately, a family of six people would only be allowed assets of $2,000 under the traditional Medicaid program. The total amount can increase if the assets are determined to be medically needy. Examples would be equipment such as oxygen tanks, electric wheelchairs or specially equipped cars or vans.

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