Page 5 - Florida Long-Term Care Medicaid Post Approval Client Guide

Family First Firm • Florida Medicaid Post-Approval Guide

2. Understanding AHCA and Provider Correspondence

As a Medicaid recipient, you will receive correspondence from multiple agencies.
Understanding who is sending these letters and what they mean is crucial.

Key Agencies

Agency for Health Care Administration (AHCA): Administers the Medicaid program, sets
coverage policy, and manages plan enrollment. AHCA correspondence typically relates to
your plan enrollment, benefits coverage, and general program information.

Department of Children and Families (DCF): Determines your financial eligibility for
Medicaid, the “gatekeepers” of Medicaid here in Florida. DCF correspondence relates to
your eligibility status, redetermination requirements, and any changes to your benefits.
Department of Elder Affairs (DOEA): Determines medical eligibility and level of care

needed for long-term care services. DOEA correspondence may relate to assessments and
level of care determinations.
Your Managed Care Plan: Your specific health plan will send correspondence about
covered services, provider networks, care coordination, and plan-specific benefits.

Critical Reminder: Open and read ALL mail related to your Medicaid. Missing deadlines or
failing to respond to requests can result in loss of benefits.

Critical Reminder: You may receive denials letters from Medicaid subprograms that we did

not, nor plan to apply for. This is normal part of the process and not something to be worried
about.

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