Florida Medicaid statutory framework

What changed

Florida Statutes section 409.902 designates AHCA as the single state agency authorized to make medical-assistance payments under Title XIX, designates the program as Medicaid, and makes DCF responsible for Medicaid eligibility determinations, including policy, rules, SSI-related agreements, and actual determinations. Section 409.904 authorizes optional payments for eligible people subject to federal and state income, asset, and categorical tests and includes institutional, hospice, home- and community-based, medically needy, emergency, family-planning, child, premium, and related coverage categories. Section 409.905 identifies mandatory Medicaid service authority, including home health services and private duty nursing utilization management, and section 409.906 identifies optional service authority including home- and community-based services and assistive-care services.

Why it matters

Florida's statutory layer is the authority behind eligibility, service coverage, payment, managed care, and long-term-care implementation. This row gives Florida coverage explainers a legislative anchor before service-specific statutes are promoted.

Who it touches

Family caregivers, Care providers and plans, People receiving careFlorida Medicaid applicants, Florida Medicaid recipients, Statewide Medicaid Managed Care enrollees, older adults, people with disabilities, children, family caregivers, providers

Topics

Home and community services

• Florida Statutes Chapter 409 Part III, Medicaid
• Florida Statutes Section 409.902
• Florida Statutes Section 409.904
• Florida Statutes Sections 409.905 and 409.906

Last reviewed Jul 4, 2026. This is information, not legal advice; check the source for the current text.