Florida Medicaid wants to encourage you to make healthy choices and participate in activities that will help keep you from getting sick. Beneficiaries in Florida Medicaid Reform plans will be eligible for enhanced benefits if they take part in specific activities. The goal is to reward your healthy behavior.

You will receive information on the activities that will earn enhanced benefits for you. When you complete one of the activities, credits will be deposited into an account for you. You will be able to access the credits in that account to pay for over the counter health-related supplies that are not already covered by Florida Medicaid, such as vitamins. If you leave Florida Medicaid coverage, you may still use the remaining credits in your enhanced benefit account to pay for health related supplies.

Enhanced Benefits Call Center
1-866-421-8474

Monthly Enhanced Benefits Report

Below are all the documents and information need to complete and submit your monthly report.

File Layout Enhanced Benefits Monthly Report, as of October 2, 2006 [10KB PDF]

Naming Convention Enhanced Benefits Monthly Report, as of March 12, 2007 [22KB PDF]

File Layout Enhanced Benefit Information System Rejected Records [11KB PDF]

CPT and EB Codes, December 13, 2007 [13KB PDF]

Maintenance Drugs [924KB PDF]
Maintenance Drugs [2.10KB Microsoft Excel]

Click here for a schedule of upcoming meetings. 5/15/08

Previous Meeting Information

EBIS Credit File Validator

To use the validator, right click on validator.zip [22.57MB] and choose Save Target as from the menu. Save the file to a new folder on your computer. Locate validator.zip, double click on the file to extract the files into the same folder. There is a file named Instructions.txt that lists the steps on how to install the validator. If you need assistance please e-mail the enhanced benefits e-mail at enhancedbenefit@ahca.myflorida.com.

Enhanced Benefits Pharmacy Provider Letter, October 1, 2006 [31KB PDF]

NEW Pharmacy Enhanced Benefits Billing Instructions [37KB PDF]

Frequently Asked Questions #1, September 12, 2006 [69KB PDF]

Enhanced Benefits Policy Letter, 9/7/06 [2.15MB PDF]

Enhanced Benefits Over the Counter Products

Florida Medicaid Reform Enhanced Benefits Universal Form (English), December 2007 [72KB PDF] (Beneficiary Information)

Florida Medicaid Reform Enhanced Benefits Universal Form (Spanish), December 2007 [77KB PDF] (Beneficiary Information)

Introduction to Enhanced Benefits Account Program Brochure (English), December 2007 [272KB PDF] (Beneficiary Information)

Introduction to Enhanced Benefits Account Program Brochure (Spanish), December 2007 [255KB PDF] (Beneficiary Information)

Healthy Behaviors with Approved Credit Amounts [10KB PDF] (Beneficiary Information)