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Medicaid State Plan Under Title XIX of the Social Security Act Medical Assistance Program ACA Related State Plan Amendments

The following Affordable Care Act/Medicaid Eligibility documents (also known as Modified Adjusted Gross Income or MAGI) State Plan amendments for Medicaid and CHIP, have been submitted to the Centers for Medicare and Medicaid Services (CMS).

Medicaid State Plan Amendments

Approved

Group 1 (Effective 1/1/2014) — MAGI-Based Eligibility Groups:  consists of 15 SPA documents covering the five (5) mandatory and nine (9) optional eligibility groups and the AFDC standards linked to some groups.  This group represents current eligibility groups plus the new mandatory group of former foster care children up to age 26.  There are SPA documents for groups that Florida does not cover; CMS is requiring that states submit these groups to indicate that the state does not cover them.  The SPA documents in this group are:

Approved

Group 2 (Effective 1/1/2014) — Eligibility Process:  consists of one (1) SPA document covering the state’s alternative single, streamlined application for insurance affordability program coverage; the alternative application to be used for other programs (non-MAGI Medicaid, cash assistance, food assistance); application processing; redetermination processing; and coordination of eligibility and enrollment.  The SPA documents for this group are:

Approved

Group 3 (Effective 10/1/2013) — MAGI Income Methodology:  consists of one (1) SPA document designating the income options the state is electing in 2014 (such as how pregnant women are counted, reasonably predictable changes in income, cash support, how full-time students are counted) in order to comply with ACA requirements. 

The SPA document for this group is:

Approved

Group 4 (Effective 1/1/2014) — State Plan Administration: Consists of one (1) SPA document describing the basic administration of the Medicaid program and the legal authority of the state to submit and administer the state plan, a certification letter from the Attorney General, and an organizational chart for the Agency for Health Care Administration (which are attachments to the SPA document).

Approved

Group 5 (Effective 2/1/2014) — Residency:  This SPA identifies specific requirements for what constitutes state residency and information regarding interstate agreements (if any), and policies for individuals who are temporarily out of the state or temporarily living in the state.

Approved

Group 6 (Effective 1/1/2014) — Citizenship: Consists of one (1) SPA document describing the rules concerning Medicaid requirements related to U.S. citizenship and non-citizen eligibility.

Approved

Group 7 (Effective 1/1/2014) — Hospital Presumptive Eligibility: Consists of one (1) SPA document indicating that hospitals in the state determine eligibility presumptively and that Medicaid coverage is provided based on that determination.

Approved

Superseded Pages — The following documents (provided by the Centers for Medicare and Medicaid (CMS)) identify the pre-Affordable Care Act State Plan pages that will be superseded as of the effective date of each document.

Sections of the State Plan

To find the sections of the state plan, please go to the following link: Sections of the State Plan.

Medicaid