Florida Medicaid Complaints

Complaint Requirements

Anyone can file a complaint, including Medicaid recipients or their authorized representatives, and Healthcare providers.  If you are enrolled or participate with a Medicaid Managed Care Plan, you will be encouraged to first submit the complaint to your Plan.  The Member Services phone number for each Plan is printed on each Member ID Card.

You may submit a complaint online using the Florida Medicaid Complaint Form.

To file a complaint by phone, please call the Medicaid Helpline at 1-877-254-1055 (TDD 1-866-467-4970). Staff are available to assist you Monday through Friday, 8am-5pm EST.

If your complaint is regarding Medicaid eligibility or the application process, please contact the Department of Children and Families ACCESS Program.

Reporting a Complaint

The Agency makes every effort to quickly respond to Medicaid complaints and issues. Any problem that a provider or recipient is having with Medicaid can be reported as a complaint. Some examples are:

  • Missed or late services
  • Getting a service authorization
  • Problems getting care
  • Claims or payment Issues
  • Unable to find a participating provider
  • Unhappy with services

Reporting Problems with Medicaid and Getting Help

NOTE: Medical records are typically maintained at the office(s) of each health care provider.  If you need to request copies of your medical records, please contact your health care provider directly.  If you believe that the provider is not complying with your request, you may file a complaint with the Department of Health.  For all other requests, contact the Agency's Public Records Office.