Florida Medicaid’s Covered Services and HCBS Waivers
Inpatient Hospital Services
Medicaid reimburses licensed, Medicaid-participating hospitals for inpatient services. The services must be provided under the direction of a licensed physician or dentist.
Medicaid inpatient hospital services provide diagnostic, medical and surgical services. Inpatient hospital services include:
- Bed and board in a semi-private room, except when private accommodations are medically necessary or only private rooms are available
- Drugs, biologicals, supplies, appliances, and equipment for use in the hospital
- Medical or surgical services
- Medical social services
- Nursing services and other related services
- Other diagnostic or therapeutic services
- Use of hospital facilities
This service is one of the minimum covered services for all Managed Medical Assistance plans serving Medicaid enrollees.
Eligibility
Florida Medicaid recipients requiring medically necessary inpatient hospital services.
Florida Medicaid reimburses for emergency services (including labor and delivery and dialysis services) provided to illegal aliens who otherwise meet all eligibility requirements except citizenship status. Florida Medicaid will not pay for continuous or episodic services after the emergency has been alleviated.
Resource Information
Information on Medicaid health plans and services is available on the Statewide Medicaid Managed Care webpage.
The Florida Medicaid coverage policies, fee schedules, and Rule are available on the Agency Website.
