Florida Keys Healthy Start Coalition

Healthy Start Store

About the KidCare Program
Florida KidCare is our state’s children’s health insurance program for uninsured children under age 19. It is made up of four parts: MediKids, Healthy Kids, the Children’s Medical Services (CMS) Network for children with special health care needs, and Medicaid for children. When you apply for the insurance, Florida KidCare will check which program your child may be eligible for based on age and family income.

How Do I Apply?
Healthy Kids and KidCare now has year round open enrollment! Applying is easy! It takes 4-6 weeks to process a complete application. Coverage only begins after your child's eligibility has been determined and the first month's premium has been received, if required.

There are two easy ways to apply:
• Apply Online Now
• Download an Application

Family Checklist - What you need for the application process.

Your family's most recent tax return (Form 1040) OR

Your Wage and Earnings Statement (W-2 Form) OR

Current Pay Stubs (covering the last 4 weeks)

The cost to add your child or children to health insurance if your employer offers it.

You children's Social Security numbers or the date applied for if you have not received a Social Security card.

For more information:
• General Phone Number: 1.888.540.5437
• Local Northeast Florida Phone Number: 904.723.5422 x.123
• www.floridakidcare.org

Medicaid for Pregnant Women
There are two ways for pregnant women to apply for Medicaid.

Presumptive Medicaid Eligibility for Pregnant Women (PEPW):
Qualified Designated Providers (QDPs) determine presumptive eligibility for pregnant women who are not already Medicaid eligible. In Florida, QDPs are County Health Departments (CHD), Regional Perinatal Intensive Care Centers (RPICC) and other state approved providers.

The paper application form (CF-ES 2700) is available at the provider locations. PEPW is a temporary coverage for outpatient prenatal services. It does not include labor and delivery costs. This is the quickest way to get Medicaid.

The pregnant woman, her unborn child, the father of the baby (if he lives in the home), and her other children (if any) are considered the family. If the pregnant woman is under age 21 and living with her parent(s), a portion of the parent(s) income is counted.

The pregnant woman's statement of income and household composition is used to determine eligibility for this Medicaid. Family gross income must be less than 185% of the Federal Poverty Level for the size of the family. See the chart on the last page of this booklet for income levels. PEPW coverage begins with the date of approval for a maximum of 60 days, usually less. Within five working days of approval, the application for ongoing Medicaid is forwarded to the local DCF office.

PEPW is closed when regular Medicaid coverage is approved or denied.

Simplified Eligibility for Pregnant Women (SEPW):
A pregnant woman with or without children may be eligible for Medicaid if she:
Has gross income for the family under 185% of the Federal Poverty Level (FPL),
Provides proof of pregnancy with a due date from a doctor, nurse, or midwife, and
Provides verification of citizenship, identity (if a U.S. citizen), and other verifications such as income, if requested.
Assets are not counted for this coverage.
The pregnant woman, her unborn child, the father of the baby (if he lives in the home), and her other children (if any) are considered the family. If the pregnant woman is under age 21 and living with her parent(s), a portion of the parent(s) income is counted.

Click here to print a simplified application or visit one of our service center locations to apply.
You do not need to visit an ACCESS service center to be approved. Your statement of income is used to determine Medicaid eligibility in most cases. Income is verified electronically whenever possible or we will contact you to provide verification. If we later find you are not eligible, your Medicaid coverage will be stopped.

Once you are eligible and approved, the Medicaid coverage will continue for two months after the pregnancy ends, no matter what changes occur. The only exception is if you move out of Florida. You will be enrolled in the Family Planning Waiver for the first year after your Medicaid coverage for your pregnancy ends without having to file an application. Before the end of the first year, a notice and application will be mailed for enrollment in the second year.

Newborn babies are eligible for up to a year of Medicaid if the mother is Medicaid eligible on the baby's date of birth, without filing an application. You can report the birth of your baby at 1-866-762-2237.

All other uninsured Florida Families
Cover Florida gives uninsured Floridians the opportunity to take charge of their own preventive health care. Cover Florida benefit options include a robust set of benefits, such as coverage for preventive services, screenings, and office visits, as well as office surgery, urgent care, prescription drugs, durable medical equipment, and diabetic supplies.



Healthy Start Program Preconception Care and Planning Fetal Alcohol Spectrum Disorders Childbirth Education Breastfeeding New Mother Support Groups Provider List Ecoparenting Teens Only Healthy Start Store	About the KidCare Program Florida KidCare is our state’s children’s health insurance program for uninsured children under age 19. It is made up of four parts: MediKids, Healthy Kids, the Children’s Medical Services (CMS) Network for children with special health care needs, and Medicaid for children. When you apply for the insurance, Florida KidCare will check which program your child may be eligible for based on age and family income. How Do I Apply? Healthy Kids and KidCare now has year round open enrollment! Applying is easy! It takes 4-6 weeks to process a complete application. Coverage only begins after your child's eligibility has been determined and the first month's premium has been received, if required. There are two easy ways to apply: • Apply Online Now • Download an Application Family Checklist - What you need for the application process. Your family's most recent tax return (Form 1040) OR Your Wage and Earnings Statement (W-2 Form) OR Current Pay Stubs (covering the last 4 weeks) The cost to add your child or children to health insurance if your employer offers it. You children's Social Security numbers or the date applied for if you have not received a Social Security card. For more information: • General Phone Number: 1.888.540.5437 • Local Northeast Florida Phone Number: 904.723.5422 x.123 • www.floridakidcare.org Medicaid for Pregnant Women There are two ways for pregnant women to apply for Medicaid. Presumptive Medicaid Eligibility for Pregnant Women (PEPW): Qualified Designated Providers (QDPs) determine presumptive eligibility for pregnant women who are not already Medicaid eligible. In Florida, QDPs are County Health Departments (CHD), Regional Perinatal Intensive Care Centers (RPICC) and other state approved providers. The paper application form (CF-ES 2700) is available at the provider locations. PEPW is a temporary coverage for outpatient prenatal services. It does not include labor and delivery costs. This is the quickest way to get Medicaid. The pregnant woman, her unborn child, the father of the baby (if he lives in the home), and her other children (if any) are considered the family. If the pregnant woman is under age 21 and living with her parent(s), a portion of the parent(s) income is counted. The pregnant woman's statement of income and household composition is used to determine eligibility for this Medicaid. Family gross income must be less than 185% of the Federal Poverty Level for the size of the family. See the chart on the last page of this booklet for income levels. PEPW coverage begins with the date of approval for a maximum of 60 days, usually less. Within five working days of approval, the application for ongoing Medicaid is forwarded to the local DCF office. PEPW is closed when regular Medicaid coverage is approved or denied. Simplified Eligibility for Pregnant Women (SEPW): A pregnant woman with or without children may be eligible for Medicaid if she: Has gross income for the family under 185% of the Federal Poverty Level (FPL), Provides proof of pregnancy with a due date from a doctor, nurse, or midwife, and Provides verification of citizenship, identity (if a U.S. citizen), and other verifications such as income, if requested. Assets are not counted for this coverage. The pregnant woman, her unborn child, the father of the baby (if he lives in the home), and her other children (if any) are considered the family. If the pregnant woman is under age 21 and living with her parent(s), a portion of the parent(s) income is counted. Click here to print a simplified application or visit one of our service center locations to apply. You do not need to visit an ACCESS service center to be approved. Your statement of income is used to determine Medicaid eligibility in most cases. Income is verified electronically whenever possible or we will contact you to provide verification. If we later find you are not eligible, your Medicaid coverage will be stopped. Once you are eligible and approved, the Medicaid coverage will continue for two months after the pregnancy ends, no matter what changes occur. The only exception is if you move out of Florida. You will be enrolled in the Family Planning Waiver for the first year after your Medicaid coverage for your pregnancy ends without having to file an application. Before the end of the first year, a notice and application will be mailed for enrollment in the second year. Newborn babies are eligible for up to a year of Medicaid if the mother is Medicaid eligible on the baby's date of birth, without filing an application. You can report the birth of your baby at 1-866-762-2237. All other uninsured Florida Families Cover Florida gives uninsured Floridians the opportunity to take charge of their own preventive health care. Cover Florida benefit options include a robust set of benefits, such as coverage for preventive services, screenings, and office visits, as well as office surgery, urgent care, prescription drugs, durable medical equipment, and diabetic supplies.

Florida Keys Healthy Start Coalition • 1100 Simonton Street Key West, FL 33040 Copyright © 2010 • FKHSC • Gardner Designion