For specific policy and limits information, please see the Medicaid coverage policies and fee schedules by visiting the Agency Website Benefits and Services Provided by Florida Long Term Care Medicaid. Florida Medicaid enrolled hospital providers may elect to make presumptive eligibility determinations in accordance with federal law and state policy. The Florida Medicaid program that helps pay for home health care and ALF care is often referred to as the Florida "Medicaid Waiver" Program. In Florida, Medicaid will generally help with assisted living costs by reducing the by $1,100-$1,500/month. Most new applicants wonder what services are covered by Medicaid and what does Medicaid not cover.

Does Medicaid cover dental services? Florida Medicaid’s Covered Services and HCBS Waivers. The age of the recipient and the medical necessity also are major factors in determining whether Florida Medicaid will cover a given medical service. Medicaid pays for emergency and medically necessary dental work across the country. This Medicaid program does not pay for all of the assisted living facility's cost, for instance, nor does it pay for 24/7 in-home care. Medicaid Institutional Care Program (ICP): If the applicant desires Medicaid to pay for institutionalized care, such as nursing home care, must apply to the ICP Medicaid program in Florida and meet certain income and asset requirements. As it applies to Florida, certain Medicaid services require the signing and approval of a medical waiver. Florida offers different types of Medicaid insurance for approved applicants that cover a variety of medical services and treatments. Medicaid also pays for comprehensive dental care in more than 30 states.

However, others may only cover certain categories of treatments. States establish and administer their own Medicaid programs and determine the type, amount, duration, and scope of services within broad federal guidelines. In this case, it is the Florida Department of Children and Families that weighs in on FL Medicaid coverage. The services covered by Medicaid in Florida vary somewhat depending on which health plan is chosen. Medicaid coverage in Florida is important for low-income applicants seeking affordable health care. Medicaid services that are not covered are at the state health department’s discretion. Federal law requires states to provide certain mandatory benefits and allows states the choice of covering other optional benefits . The list below provides direct links to a general overview for each of the covered services.