Medicaid State Plan Under Title XIX of the Social Security Act Medical Assistance Program

Florida's Medicaid State Plan (the Plan) is a large, comprehensive written statement describing the scope and nature of the Medicaid program. The Plan outlines current Medicaid eligibility standards, policies and reimbursement methodologies to ensure the state program receives matching federal funds under Title XIX of the Social Security Act.

This Web site provides a secure link to a complete copy of the Plan, Part I, Part II, and Part III, as well as a divided version further below. The divided version is sorted in the most logical format, while still following the correct order of the document. All documents are searchable by word or phrase using the “Search” function in Adobe Acrobat Reader. If additional help is needed, please contact the Bureau of Medicaid Policy at Rules_Unit@ahca.myflorida.com.

Sections of the State Plan

Florida Medicaid State Plan Part I [15.98MB PDF] Updated March 26, 2018
Table of Contents – Attachment 2.6-A

Florida Medicaid State Plan Part II [17.99MB PDF] Updated March 26, 2018
Attachment 3.1-A – Attachment 4.18-E

Florida Medicaid State Plan Part III [6.97MB PDF] Updated March 26, 2018
Attachment 4.19-A – Attachment 7.2-A

**Due to the large file size, these documents may take longer to download.**

Table of Contents [151KB PDF]

Section 1 - Single State Agency Organization [390KB PDF]

Section 2 - Coverage and Eligibility [172KB PDF]

Section 3 - Services: General Provisions [670KB PDF]

Section 4 - General Program Administration [2.48MB PDF] Updated October 7, 2016

Section 5 - Personnel Administration [83KB PDF]

Section 6 - Financial Administration [69KB PDF]

Section 7 - General Provisions [107KB PDF]

Attachments

To find the attachment to the state plan, please go to the following link: Attachments.

ACA Related State Plan Amendments

Affordable Care Act/Medicaid Eligibility documents (also known as Modified Adjusted Gross Income or MAGI) State Plan amendments for Medicaid and CHIP, have been submitted to the Centers for Medicare and Medicaid Services (CMS). To find the ACA related documents (and their approval status), please go to the following link: ACA web page.