Pay close attention to the deadline and READ CAREFULLY. DUE within 30 days of receipt.
(You will receive a letter in the mail with printed due dates and copies of these forms)
🎞Here’s instructions on how to fill out the ONLINE Access Florida Medicaid Application: Video
🎞 How do I fill out the Paper Access Application? Video Walk-through

Frequently Asked Questions here: FAQ

Person Directed Option (PDO) is part of Medicaid Long Term Care. The PDO is a service delivery model that empowers Medicaid recipients enrolled in a Managed Care Plan by allowing them to hire, train, supervise, and dismiss their direct service worker(s) providing certain long-term care services.  The PDO is available to all long-term care enrollees who have any PDO service on their authorized care plan and who live in their own home or family home.  Read more about it here 

Medical Certification Form (3008)

“AHCA Form 5000-3008” Must be faxed, emailed or submitted electronically (Do not mail – We cannot guarantee it will be delivered correctly, in a timely manner by the postal office.)

 

TAKE THIS TO YOUR DOCTOR.

This can be filled out by any Physician, MD, DO, ARNP, or PA-C. 

ASK THEM TO COMPLETE IT AND FAX BACK TO US. 

DO NOT SEND THIS Medical FORM TO DCF (STEP 2).

This form must come to the Area Agency on Aging –

Financial documents go to DCF/Medicaid.

FAX to 727-234-4429 or

email ps*********@***pp.org 

 

!!! Incomplete forms are faxed back to your doctor for corrections, is it your responsibility to follow up with the doctor.!!!

 

What services will I get?
Once DCF approves the Case, your information will be sent to your new case manager. They will call you directly and set up a care plan meeting where all your services will be discussed with you. 
 
** Staff at this agency will NOT know what will ultimately be authorized for you or what your new ALF payment maybe **

ACCESS FLORIDA 

(Official ONLINE Medicaid Application, to expedite receipt of your application)  Video Instructions 

Or Print:   Medicaid Application 

PRINT, COMPLETE, AND SIGN.  FAX OR MAIL INTO DEPT OF CHILDREN AND FAMILIES.  OR USE THE APPLICATION MAILED TO YOU WITH A PRE-ADDRESSED ENVELOPE.

OR DCF can take your application over the phone. You MUST call them directly if you need help at (850) 300-4323 (Listen to the 4 min voice recording before you’ll be given the option for telephonic application assistance )

If requested:
 
 
 * Only the person applying for assistance, or their POA, can sign forms for DCF — You must send in a copy of your POA if you are signing for someone else. (Even if you are married to the person applying) *
 

INCOME LIMIT (2026): $2,982 per month based on GROSS income (BEFORE your Medicare premium and/or Taxes are deducted from your Retirement/Pension check).

ASSET LIMIT: $2,000

JOINT/COUPLE ASSET LIMIT: $3,000

DID YOU ALREADY APPLY? 

Track your case status online at MyACCESS Login 

Either log in (if you have a username and password) OR use the virtual assistant chat box located in the bottom right. 

Agents available
7am to 6pm, Mon-Fri
(850) 300-4323
DCF/MEDICAID FAX Numbers: 
1-866-886-4342
Alt fax: 1-866-940-7126
 
MAILING ADDRESS:
ACCESS Central Mailing Center
P.O. Box 1770
Ocala, FL 34478-1770
 

*** ALWAYS INCLUDE YOUR SSN OR CASE NUMBER ON ANYTHING YOU SEND TO DCF OR IT WILL GET LOST.

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Department of Elder Affairs (CARES Unit)

Will call you or your representative to complete the face-to-face medical assessment.

IMPORTANT NOTE about this step: 

Dept of Elder Affairs (CARES unit) may take 2-4 weeks to contact you for this step depending on their workload demands. This step can only begin AFTER your Medical Certification form is complete and received by Area Agency on Aging. 

DOEA CARES Office:  727-588-6882 

Read more about the Cares unit here

Forms the CARES unit may need are here

Step 3 results in a Level of Care determination. Area Agency on Aging will send this information to DCF on your behalf via a Form 2515. It can take several weeks for DCF to update your case with this information. 

 NEXT STEP: 

Wait for your letter to come from ACCESS/Dept. of Children and Families (DCF). They may need proof of your income and assets, like Bank Statements, or something else.

** Only DCF can make the final decision on your approval or denial for Medicaid programs **

Check your status directly with DCF by making an account on myaccess.myflfamilies.com 

Or call them: (850) 300-4323

How do I fill out this Medicaid application?
*There is a video at the top of this page to walk you through this.  (Staff at this agency CANNOT provide what is considered legal advice, or tell you how to answer the application questions). Fill it out to the best of your ability, and DCF/Medicaid will ask you for more information if they need to.
 
Why is it taking so long?
 
Typical Processing time can take 60-90 days from step 1 to case approval. Cases can only process as fast as State Statute allows. ** Failure to complete any of these steps by the due date on your letter will cause delays ** 
 
*** YOU CANNOT GET SERVICES UNTIL DCF/MEDICAID APPROVES YOUR CASE. THIS IS A MEDICAID PROGRAM, AND MEDICAID APPROVAL IS REQUIRED (unless you have Supplemental Security Income, aka SSI)***
 
 I haven’t heard from anyone after you called me, what’s the hold up?
 
*About 40% of cases are denied for not returning the Medical Form (Step 1) or Completing the Medicaid Application (Step 2). **THERE ARE NO EXCEPTIONS TO THESE STEPS. See your letter or contact your worker for specifics for your case.
 
 I completed Steps 1-3, when are my services starting?
 
*99% of the time DCF/Medicaid will request the last 3 months of bank statements from your checking/savings accounts. Even if you already have Medicaid.
The final approval will come from Dept of Children and Families. You can find out the status of this final step by logging into your “My ACCESS” account or by using the virtual assistant at: myaccess.myflfamilies.com 
Or call them at (850) 300-4323. 

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What if I am over the income or asset limit or I do not want to fill out the Medicaid form? – You may want to hire an Attorney to do it for you and assist with your legal options to become eligible. You can find a list of Elder Law Attorney’s here: Elder Law Attorneys
 

Other Documents? Please send any FINANCIAL forms to DCF/Medicaid directly (include your SSN or case number on each page) – Fax 1-866-886-4342

What’s Next? Click here to find out

For additional questions: Review the name, phone number, and email address of your assigned worker. You may contact them directly for more information. 

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