Medicaid Guidelines

Pregnancy Medicaid

  • Apply online: http://www.myflorida.com/accessflorida and click on “Apply for Benefits” to apply for Pregnancy Medicaid Insurance. Make note of your application number and any other information you get when complete your application.
  • To find locations in your area where you may receive assistance applying for click the link below: https://access-web.dcf.state.fl.us/CPSLookup/search.aspx
  • We also partner with HEALING PINELLAS where they provide no cost services and can help you enroll or Recertify. Call: 727-353-3357 or Stop By: 4400 66th St. N, St. Petersburg, FL. 33709. No appointment needed.

Know your income and see if you meet these guidelines (as of April 2024). Child support and SSI are not counted as income.

Once you have Pregnancy Medicaid:

Medicaid Recipients now receive their health care through a Medicaid managed care plan and you should receive a letter from AHCA advising which plan you have or which information on Medicaid Managed Care Plan options. To make a choice or change your plan, go to the following site: www.flmedicaidmanagedcare.com or call a choice counselor at 1-877-711-3662. To make sure you know which plan you want, check with your prenatal provider to see which plans their office accepts.

2025 Medicaid Managed Care Plans in Pinellas County

Florida KidCare

Beginning at birth, all infants and children need regular health check-ups and access to medical care for any health conditions that arise. It is important that your child has a medical home – a place where your child goes to receive medical care with a health care provider who knows your child and has developed a trusted relationship of mutual responsibility with you as the parent. Children are more likely to have access to routine medical care when they have health insurance coverage.

Through Florida KidCare, the state of Florida offers health insurance for children from birth through age 18, even if one or both parents are working. When you apply for coverage, Florida KidCare will check what your child may qualify for based on age and family income which includes Medicaid coverage.

Some of the services Florida KidCare covers are:

  • Doctor visits
  • Check-ups and shots or vaccinations
  • Hospital visits
  • Surgery
  • Prescription medicines
  • Emergencies
  • Vision and hearing screening
  • Dental care
  • Mental health services

COST:

For Florida KidCare programs, monthly premiums or payments depend on your household’s size and income. Most families pay $15 or $20 a month. Some families have to pay more. Families who are not eligible for assistance with monthly premiums may buy Florida KidCare at the “full pay” premium rate. There is no charge if your child qualifies for Medicaid for children.

To apply for click the link below:

https://www.healthykids.org/

If you applied for Florida KidCare before or have questions, you can update your information by calling 1 (888) 540-KIDS.

Affordable Care Act

Click the link below to find a Healthcare Navigator in your area.

For the most current Medicaid Guidelines, click here