Enhanced Benefits Reward$ Program
Florida Medicaid has a new program called the Enhanced Benefits Reward$ Program. This program is designed to reward you for taking part in activities that can improve your health. These activities, known as healthy behaviors, will earn credits that you can later use to buy health-related items at the pharmacy. You do not have to do anything to enroll in this program.
Beneficiaries with disabilities can receive these materials in alternative formats upon request at no additional charge. These formats include, but are not limited to: Braille, large print, CD-ROMs, and audiotapes. To receive these services contact:
Enhanced Benefits Call Center
1-866-421-8474
Enhanced Benefits Over-the-Counter Products
You can use your Enhanced Benefits credits to buy health-related items at any Florida Medicaid participating pharmacy. To find out what types of products you can buy with your credits, click the links below.
If you wish to save the spreadsheet to your computer, right click on the product list and choose Save as from the pop up menu.
If you need help using this list, call the Enhanced Benefits Call Center at 1-866-421-8474 and they will be happy to help you.
Complete List of Over-the-Counter Products [1.06MB PDF]
Complete List of Over-the-Counter Products [6.77MB Microsoft Excel]
CVS List of Over-the-Counter Products [719KB PDF]
CVS List of Over-the-Counter Products [192KB Microsoft Excel]
Publix List of Over-the-Counter Products [33KB PDF]
Publix List of Over-the-Counter Products [26KB Microsoft Excel]
Target List of Over-the-Counter Products [112KB PDF]
Target List of Over-the-Counter Products [44KB Microsoft Excel]
Walgreen List of Over-the-Counter Products [1.08MB PDF]
Walgreen List of Over-the-Counter Products [258KB Microsoft Excel]
Walmart List of Over-the-Counter Products [113KB PDF]
Walmart List of Over-the-Counter Products [43KB Microsoft Excel]
Winn-Dixie List of Over-the-Counter Products [148KB PDF]
Winn-Dixie List of Over-the-Counter Products [51KB Microsoft Excel]
Enhanced Benefits Reward$ Program Welcome Letter (English) [113KB PDF]
Enhanced Benefits Reward$ Program Welcome Letter (Spanish) [110KB PDF]
Florida Medicaid Reform Enhanced Benefits Universal Form (English), December 2007 [91KB PDF]
Florida Medicaid Reform Enhanced Benefits Universal Form (Spanish), December 2007 [96KB PDF]
Healthy Behaviors with Approved Credit Amounts, March 10, 2009 [10KB PDF]
Frequently Asked Questions
Who is eligible?
If you are enrolled in a Florida Medicaid Reform Health Plan, you are eligible to earn and use credits in the Enhanced Benefits Account Program.
How do you earn credits?
You earn credits by taking part in a healthy behavior. Healthy behaviors may be offered by your health plan, community center, or other not- for-profit organizations. The program records your participation in two ways:
- Your health plan reports when you visit the doctor or have a procedure that is an approved healthy behavior to earn credit; or
- You submit an Enhanced Benefits Universal Form to your health plan that shows you participated in an approved healthy behavior outside of your health plan.
How many times can you earn credit for each healthy behavior?
You may earn credit for each healthy behavior up to the limit for each behavior until you reach the $125.00 credit limit per year.
How much can you earn?
You may earn credits worth up to $125.00 per year (September 1, 2006 through June 30, 2006).
How will you know when you have credits in your account?
When you earn a credit, you will get a letter from the Agency. Deposits will occur on the first day
of each month. It may take up to 90 days after you complete a healthy behavior before the credits show up in your account.
How do you buy items using your credits?
You must provide your Florida Medicaid ID number and a picture ID. Take the item or items to the pharmacy counter to check out.
What can you buy with the credits you earn?
Credits in your account may be used to buy certain health-related items. Items include first aid supplies, cough and cold medication, dental supplies, and many other over-the-counter items. See list of products at the top of this page.
Where can you use your credits?
You may use your credits at any Florida Medicaid participating pharmacy.
What is the Enhanced Benefits Universal Form?
The Enhanced Benefits Universal Form is used to record an approved healthy behavior that is not provided by your health plan.
How do you get the Universal Form?
The Enhanced Benefits Universal Form is available at the top of this page or from your health plan web site or through the health plan customer service number listed in this brochure.
Can the Enhanced Benefits Universal Form be submitted for healthy behaviors not listed on the Form?
No. Only behaviors listed on Universal Form will be processed for credit when the Universal Form is used. See the list of healthy behaviors at the top of this page.
How will credits be earned for behaviors not listed or submitted on the Universal Form?
Approved healthy behaviors that are not listed on the Universal Form will be reported by your health plan.
What is the timeframe for submitting the Universal Form?
If you are using the Universal Form to receive credits in the Enhanced Benefits program, the Universal Form must be submitted to your health plan within one year. The Universal Form has an end date field that must be filled in. The beneficiary has one year from the date that is put in the end date field to submit the form to the health plan to earn credits.
There is a PDF document for the FAQ for the provider side; do you have this document as a Word document? If so would you add the following information in section II under the Universal Form section at the end?
What is the timeframe for submitting the Universal Form?
A health plan has up to one year from the date of service of a healthy behavior to submit to the Agency on the health plans monthly Enhanced Benefits report.
Regarding the universal form, the date of the paid claim is equal to the date the health plan received the universal form and the date of service is equal to the end date on universal form. As long as the end date on the universal form is within one year of the date the health plan receives the universal form and the health plan approves the universal form, the information is acceptable to submit on the monthly Enhanced Benefits report.
There are five easy steps to earn credits. They are listed below.
- You participate in an approved healthy behavior.
- You submit a completed Enhanced Benefits Universal Form or your provider submits a claim to your health plan.
- Your health plan reports the behavior to the Agency.
- The Agency approves the credits, updates your account and mails you a
statement. - You may begin using the credits you have earned.
If you want to use your credits to buy an approved health product or supply, you must wait until the program sends you an account balance letter stating that credits are in your account. It may take up to 90 days after you complete a healthy behavior before the credits show up in your account.
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Email your comments and suggestions on Enhanced Benefits to
enhancedbenefit@ahca.myflorida.com
