Frequently Asked Questions

When will the changes take effect?
Florida Medicaid Reform began on July 1, 2006; however, the enrollment period will be spread out over the first year.
How will I be notified?
You will receive a letter from Florida Medicaid telling you when you must choose a plan and then you will have 30 days to pick a plan. You may contact a Choice Counselor, who will go over the different plans with you and discuss where your providers are located. Information on how to contact a Choice Counselor will be included in your packet.
Will I be forced to choose a Florida Medicaid Reform health care plan?
If you are required to participate in Florida Medicaid Reform, you will need to choose a Florida Medicaid Reform health care plan within 30 days. If you don't choose you will be assigned to a health care plan - just like it is now. You can join a Reform health care plan any time after 7/1/2006. The choice of health plan is yours and you should not be forced into a plan.
Will I have a co-payment, co-insurance and/or deductible with Reform health care plans?
There are no deductibles in Florida Medicaid Reform health plans. Co-payments/co-insurance cannot be higher than what Florida Medicaid required before Reform. Children will not have co-payments or co-insurance.
How will I know which health care plan to choose?
A Choice Counselor, trained on the different Florida Medicaid Reform plans, will assist you in making this important choice. You need to be thinking about which Florida Medicaid services are most critical to you and your family's health care needs. Which Florida Medicaid providers are most important to you - who would you put at the top of your list? Are there other services that Florida Medicaid does not cover that one of the new Reform plans does cover? Remember, the choice of health plan is yours.
Will I lose my primary doctor and/or still have access to the same specialist I use now?
Most of the primary care doctors/specialists will enroll with at least one (they can enroll with several) of the Florida Medicaid Reform health care plans. You will want to talk with your doctor to find out which plans s(he) is joining.
Will my child lose his/her present therapies?
No, all physical, occupational, speech, and respiratory therapy services for children currently covered under the Florida Medicaid Program will continue to be provided by the Florida Medicaid Reform health care plan, as long as they are medically necessary. Florida Medicaid Reform plans can also offer therapies not covered by Florida Medicaid.
Will the Reform health care plans provide the same services that I receive today, or will the Reform health care plan limit the number of visits, specialty, and duration of each visit?
Yes, Florida Medicaid Reform health care plans will continue to provide medically necessary services for children and pregnant women. For everyone else the services available today will continue to be available, but the plans may have different levels of coverage.
I am enrolled in a home and community based Waiver. How will Reform affect those services?
You will receive these services as you do today.
Will the Reform health care plan pay for transportation to appointments?
Yes, transportation will be a service covered under Florida Medicaid Reform.
Will the Reform health care plan pay for durable medical equipment for my child (example: braces, Walkers, Wheelchairs)?
Yes, Florida Medicaid Reform health care plans will provide medically necessary durable medical equipment.
Does everyone in my family have to enroll in the same plan?
No, you can enroll in different plans.
How can I get more information about Florida Medicaid Reform?
Call a Choice Counselor at 1-866-454-3959, TDD 1-866-467-4970, Monday through Friday 8am to 7pm or Saturday from 9am to 1pm.

To get help, call the toll-free Helpline: 1-866-454-3959; TDD 1-866-467-4970 If you need Medicaid information in large print, audiotape or Braille, call the Helpline.