Many individuals encounter difficulty comprehending the Medicaid eligibility requirements, particularly due to the program’s frequent alterations in regulations and guidelines.
In the state of Florida, Medicaid primarily emphasizes income and asset thresholds to determine eligibility.
This approach aims to ensure improved accessibility to the program by considering essential factors such as disability, marital status, age, pregnancy, and household size.
Central Florida residents can avail themselves of free assistance from Covering Central Florida for Medicaid application and enrollment.
Gross vs. Countable Income: Florida Medicaid Criteria
When it comes to income requirements, Florida Medicaid considers both the gross and countable income of an individual or household.
All income sources are included in gross income before any taxes or deductions are taken into account.
Additionally, there is the countable income, which refers to the portion of income that Medicaid considers when determining the income limit.
For example, an individual may qualify for Medicaid if their gross monthly income does not exceed a specific income threshold.
However, you may still qualify if your gross income surpasses this limit. Assets are an important factor in determining Medicaid eligibility, in addition to gross income.
Income Thresholds for Florida Medicaid
Regarding the income cap in 2024 for Florida, individuals receiving Social Security Income typically have a cap of around $943, while couples have a cap of approximately $1,415.
For infants under the age of one, the income threshold is set at 200% of the federal poverty level.
Children between the ages of 1 and 18 fall under 133% of the Federal Poverty Level (FPL). Expectant mothers are eligible for 196% of the Federal Poverty Level.
Adults with minor children have an income level of 26% of the Federal Poverty Level (FPL).
Those who meet the requirements for Supplemental Security Income will be eligible for Medicaid in Florida.
