us-fl/regulation/fac/65a-1

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us-fl/regulation/fac/65a-1 · Axiom

2 rules1 of 68 subsections

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(201)Fla. Admin. Code R. 65A-1.201#

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person_considered_florida_resident_for_medicaidFL reg. 65a-1 (711) · derived

Fla. Admin. Code r. 65A-1.711 (Florida temporary residents may be considered residents on a case-by-case basis if intent and verification are shown)

name: person_considered_florida_resident_for_medicaid
kind: derived
entity: Person
dtype: Judgment
period: Month
source: >-
  Fla. Admin. Code r. 65A-1.711 (Florida temporary residents may be considered
  residents on a case-by-case basis if intent and verification are shown)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: condition
        source:
          corpus_citation_path: us-fl/regulation/fac/65a-1/711/block-1
          excerpt: >-
            Individuals who are in Florida temporarily may be considered
            residents of the state on a case-by-case basis, if they indicate an
            intent to reside in Florida and can verify that they are residing in
            Florida.
versions:
  - effective_from: '0001-01-01'
    formula: |-
      person_indicates_intent_to_reside_in_florida
      and person_verifies_residing_in_florida

person_may_qualify_for_breast_and_cervical_cancer_treatment_medicaidFL reg. 65a-1 (711) · derived

Fla. Admin. Code r. 65A-1.711 (exception that individuals who are neither aged nor disabled may qualify for breast and cervical cancer treatment)

name: person_may_qualify_for_breast_and_cervical_cancer_treatment_medicaid
kind: derived
entity: Person
dtype: Judgment
period: Month
source: >-
  Fla. Admin. Code r. 65A-1.711 (exception that individuals who are neither aged
  nor disabled may qualify for breast and cervical cancer treatment)
metadata:
  proof:
    atoms:
      - path: versions[0].formula
        kind: exception
        source:
          corpus_citation_path: us-fl/regulation/fac/65a-1/711/block-1
          excerpt: >-
            individuals who are neither aged nor disabled may qualify for breast
            and cervical cancer treatment
versions:
  - effective_from: '0001-01-01'
    formula: |-
      not person_is_aged
      and not person_is_disabled
      and person_meets_breast_and_cervical_cancer_treatment_program_requirements

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person_considered_florida_resident_for_medicaid

Derived(711) in text ↖

source: Fla. Admin. Code r. 65A-1.711 (Florida temporary residents may be considered residents on a case-by-case basis if intent and verification are shown)

- name: person_considered_florida_resident_for_medicaid
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: >-
    Fla. Admin. Code r. 65A-1.711 (Florida temporary residents may be considered residents on a
    case-by-case basis if intent and verification are shown)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: condition
          source:
            corpus_citation_path: us-fl/regulation/fac/65a-1/711/block-1
            excerpt: >-
              Individuals who are in Florida temporarily may be considered residents of the state on
              a case-by-case basis, if they indicate an intent to reside in Florida and can verify
              that they are residing in Florida.
  versions:
    - effective_from: '0001-01-01'
      formula: |-
        person_indicates_intent_to_reside_in_florida
        and person_verifies_residing_in_florida

person_may_qualify_for_breast_and_cervical_cancer_treatment_medicaid

Derived(711) in text ↖

source: Fla. Admin. Code r. 65A-1.711 (exception that individuals who are neither aged nor disabled may qualify for breast and cervical cancer treatment)

- name: person_may_qualify_for_breast_and_cervical_cancer_treatment_medicaid
  kind: derived
  entity: Person
  dtype: Judgment
  period: Month
  source: >-
    Fla. Admin. Code r. 65A-1.711 (exception that individuals who are neither aged nor disabled may
    qualify for breast and cervical cancer treatment)
  metadata:
    proof:
      atoms:
        - path: versions[0].formula
          kind: exception
          source:
            corpus_citation_path: us-fl/regulation/fac/65a-1/711/block-1
            excerpt: >-
              individuals who are neither aged nor disabled may qualify for breast and cervical
              cancer treatment
  versions:
    - effective_from: '0001-01-01'
      formula: |-
        not person_is_aged
        and not person_is_disabled
        and person_meets_breast_and_cervical_cancer_treatment_program_requirements

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(205)Fla. Admin. Code R. 65A-1.205#

(205)(block-1)Fla. Admin. Code Ann. R. 65A-1.205 - Eligibility Determination Process#

State Regulations

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Applicants may apply for public assistance in person or by phone, mail, the internet, or fax. Individuals may also apply for Medicaid through the Federally Facilitated Marketplace (FFM).

An application for public assistance benefits must contain at least the individual's name, address, and signature to initiate the application process. An eligibility specialist determines the eligibility of each household member for public assistance. An applicant can withdraw the application at any time without affecting their right to reapply.

An application for Medicaid coverage on behalf of a child(ren) in the care of the Department is made by completing and submitting the Child In Care Medicaid Application, CF-ES 2293, 01/2020, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11635 .

For the Medicaid Program, the time standard begins on the date of application and ends on the date the Department mails an eligibility notice. The Department must process and determine eligibility within the following time frames:

All days counted after the date of application are calendar days. Applicant delay days do not count in determining the Department's compliance with the time standard. The Department uses information provided on the Screening for Expedited Medicaid Appointments form, CF-ES 2930, 04/2007, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11636 , to expedite processing of Medicaid disability-related applications. The following non-English versions of the Screening for Expedited Medicaid Appointments form are incorporated by reference: CF-ES 2930H (Creole), 04/2007, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11637 ; and CF-ES 2930S (Spanish), 04/2007, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11638 . The "Are You Disabled and Applying for Medicaid?" brochure, CF/PI 165-107, 06/2008, incorporated by reference and available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11725 , describes required information for Medicaid Program eligibility determinations. The following non-English versions of the "Are You Disabled and Applying for Medicaid?" brochure are incorporated by reference: CF/PI 165-107H (Creole), 06/2008, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11723 ; and CF/PI 165/107S (Spanish), 06/2008, available at https://www.flrules.org/Gateway/reference.asp?No=Ref-11724 .

(205)(block-2)Notes#

Rulemaking Authority 409.919, 414.095, 414.45 FS. Law Implemented 409.903, 409.904, 409.919, 414.045, 414.095, 414.31, 414.41 FS.

New 4-9-92, Amended 11-22-93, 8-3-94, Formerly 10C-1.205, Amended 11-30-98, 9-27-00, 7-29-01, 9-12-04, 9-11-08, 7-1-10, 2-20-12, 3-25-20.

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.

(716)Fla. Admin. Code R. 65A-1.716#

(716)(block-1)Fla. Admin. Code Ann. R. 65A-1.716 - Income and Resource Criteria#

State Regulations

Compare

Family Size 88% of Poverty Level 100% of Poverty Level 120% of Poverty level 133% of Poverty Level 135% of Poverty Level 185% of Poverty Level 200% of Poverty Level 1 $945 $1, 074 $1, 288 $1, 428 $1, 449 $1, 986 $2, 147 2 $1, 278 $1, 452 $1, 742 $1, 931 $1, 960 $2, 686 $2, 904 3 $1, 830 $2, 434 $3, 386 $3, 660 4 $2, 208 $2, 938 $4, 086 $4, 417 5 $2, 587 $3, 441 $4, 786 $5, 174 6 $2, 965 $3, 944 $5, 486 $5, 930 7 $3, 344 $4, 447 $6, 186 $6, 687 8 $3, 722 $4, 950 $6, 886 $7, 444 9 $4, 100 $5, 453 $7, 585 $8, 200 10 $4, 478 $5, 957 $8, 285 $8, 957 11 $4, 857 $6, 460 $8, 985 $9, 714 12 $5, 235 $6, 963 $9, 685 $10, 470 For each addtl. person $329 $374 $448 $497 $691 $747

Family Size Monthly Income Level Family-Related MNIL SSI-Related MNIL 1 $180 $289 $180 2 $241 $387 $241 3 $303 $486 4 $364 $585 5 $426 $684 6 $487 $783 7 $549 $882 8 $610 $981 9 $671 1079 10 $733 1179 Add for each addtl. person $62 $100

Exception: In determining eligibility for a pregnant woman, the income limits for Monthly Income Level and MNIL used shall be increased to the higher limit corresponding to the applicant's actual family size. Family size shall include each anticipated unborn child as a family member.

Family Size Monthly Asset Level 1 $5, 000 2 $6, 000 3 $6, 000 4 $6, 500 5 $7, 000 6 $7, 500 7 $8, 000 8 $8, 500 9 $9, 000 10 $9, 500

For each additional person add $500.

Exception: In determining eligibility for a pregnant woman, the resource limit used shall be increased to the higher limit corresponding to the applicant's actual family size, including each anticipated unborn child as a family member.

AGE MALE LIFE EXPECTANCY FEMALE LIFE EXPECTANCY AGE MALE LIFE EXPECTANCY FEMALE LIFE EXPECTANCY 0 75.97 80.96 60 21.58 24.56 1 75.45 80.39 61 20.83 23.72 2 74.48 79.42 62 20.08 22.90 3 73.50 78.43 63 19.35 22.07 4 72.52 77.45 64 18.62 21.26 5 71.53 76.46 65 17.89 20.45 6 70.54 75.47 66 17.18 19.65 7 69.55 74.47 67 16.47 18.86 8 68.56 73.48 68 15.77 18.07 9 67.57 72.49 69 15.07 17.30 10 66.57 71.50 70 14.39 16.54 11 65.58 70.50 71 13.71 15.79 12 64.59 69.51 72 13.05 15.05 13 63.60 68.52 73 12.40 14.32 14 62.61 67.53 74 11.76 13.61 15 61.63 66.54 75 11.14 12.92 16 60.66 65.55 76 10.53 12.23 17 59.70 64.57 77 9.94 11.57 18 58.74 63.59 78 9.37 10.92 19 57.79 62.61 79 8.82 10.29 20 56.85 61.63 80 8.28 9.68 21 55.91 60.66 81 7.76 9.09 22 54.98 59.69 82 7.26 8.52 23 54.06 58.72 83 6.79 7.98 24 53.14 57.75 84 6.33 7.45 25 52.22 56.78 85 5.89 6.95 26 51.31 55.82 86 5.48 6.47 27 50.39 54.85 87 5.08 6.01 28 49.48 53.89 88 4.71 5.57 29 45.86 52.93 89 4.37 5.16 30 47.65 51.97 90 4.05 4.78 31 46.74 51.01 91 3.75 4.43 32 45.83 50.06 92 3.48 4.11 33 44.92 49.10 93 3.23 3.81 34 44.01 48.15 94 3.01 3.55 35 43.10 47.20 95 2.81 3.31 36 42.19 46.25 96 2.64 3.09 37 41.28 45.30 97 2.49 2.90 38 40.37 44.36 98 2.36 2.73 39 39.47 43.41 99 2.24 2.58 40 38.56 42.47 100 2.12 2.42 41 37.65 41.53 101 2.01 2.28 42 36.75 40.59 102 1.90 2.14 43 35.85 39.66 103 1.80 2.01 44 34.95 38.73 104 1.70 1.88 45 34.06 37.80 105 1.60 1.76 46 33.17 36.88 106 1.51 1.65 47 32.28 35.96 107 1.42 1.54 48 31.41 35.04 108 1.34 1.44 49 30.54 34.13 109 1.26 1.34 50 29.67 33.23 110 1.18 1.24 51 28.82 32.33 111 1.10 1.15 52 27.98 31.44 112 1.03 1.06 53 27.14 30.55 113 0.96 0.98 54 26.32 29.68 114 0.90 0.91 55 25.50 28.81 115 0.84 0.84 56 24.70 27.94 116 0.78 0.78 57 23.90 27.09 117 0.72 0.72 58 23.12 26.24 118 0.66 0.66 59 22.34 25.39 119 0.61 0.61

(716)(block-2)Notes#

Rulemaking Authority 409.919 FS. Law Implemented 409.902, 409.903, 409.904, 409.906, 409.919 FS.

New 10-8-97, Amended 12-9-99, 2-15-01, 11-25-01, 7-28-02, 4-1-03, 9-10-03, 8-30-04, 8-10-06, 4-15-12, 10-16-12, 11-4-12, 9-18-13, 2-26-20, 9-22-21.

(201)Fla. Admin. Code R. 65A-1.201#

(201)Fla. Admin. Code R. 65A-1.201#

(201)(block-1)Fla. Admin. Code Ann. R. 65A-1.201 - Administrative and Statutory Authority (Repealed)#

(201)(block-2)Notes#

(202)Fla. Admin. Code R. 65A-1.202#

(202)(block-1)Fla. Admin. Code Ann. R. 65A-1.202 - Administration (Repealed)#

(202)(block-2)Notes#

(203)Fla. Admin. Code R. 65A-1.203#

(203)(block-1)Fla. Admin. Code Ann. R. 65A-1.203 - Administrative Definitions#

(203)(block-2)Notes#

(204)Fla. Admin. Code R. 65A-1.204#

(204)(block-1)Fla. Admin. Code Ann. R. 65A-1.204 - Rights and Responsibilities#

(204)(block-2)Notes#

(205)Fla. Admin. Code R. 65A-1.205#

(205)(block-1)Fla. Admin. Code Ann. R. 65A-1.205 - Eligibility Determination Process#

(205)(block-2)Notes#

(206)Fla. Admin. Code R. 65A-1.206#

(206)(block-1)Fla. Admin. Code Ann. R. 65A-1.206 - Lifeline Service#

(206)(block-2)Notes#

(300)Fla. Admin. Code R. 65A-1.300#

(300)(block-1)Fla. Admin. Code Ann. R. 65A-1.300 - Cross Programmatic Policy Section (Repealed)#

(300)(block-2)Notes#

(301)Fla. Admin. Code R. 65A-1.301#

(301)(block-1)Fla. Admin. Code Ann. R. 65A-1.301 - Citizenship#

(301)(block-2)Notes#

(302)Fla. Admin. Code R. 65A-1.302#

(302)(block-1)Fla. Admin. Code Ann. R. 65A-1.302 - Social Security Numbers#

(302)(block-2)Notes#

(303)Fla. Admin. Code R. 65A-1.303#

(303)(block-1)Fla. Admin. Code Ann. R. 65A-1.303 - Assets#

(303)(block-2)Notes#

(400)Fla. Admin. Code R. 65A-1.400#

(400)(block-1)Fla. Admin. Code Ann. R. 65A-1.400 - Forms for Client Notice and Contact#

(400)(block-2)Notes#

(502)Fla. Admin. Code R. 65A-1.502#

(502)(block-1)Fla. Admin. Code Ann. R. 65A-1.502 - Beginning Dates of Eligibility (Repealed)#

(502)(block-2)Notes#

(503)Fla. Admin. Code R. 65A-1.503#

(503)(block-1)Fla. Admin. Code Ann. R. 65A-1.503 - Determination of Continued Eligibility (Transferred)#

(503)(block-2)Notes#

(504)Fla. Admin. Code R. 65A-1.504#

(504)(block-1)Fla. Admin. Code Ann. R. 65A-1.504 - Amount and Duration of Cash Payment (Transferred)#

(504)(block-2)Notes#

(505)Fla. Admin. Code R. 65A-1.505#

(505)(block-1)Fla. Admin. Code Ann. R. 65A-1.505 - Payee (Repealed)#

(505)(block-2)Notes#

(506)Fla. Admin. Code R. 65A-1.506#

(506)(block-1)Fla. Admin. Code Ann. R. 65A-1.506 - Living in the Home of a Specified Relative (Repealed)#

(506)(block-2)Notes#

(507)Fla. Admin. Code R. 65A-1.507#

(507)(block-1)Fla. Admin. Code Ann. R. 65A-1.507 - Age (Repealed)#

(507)(block-2)Notes#

(508)Fla. Admin. Code R. 65A-1.508#

(508)(block-1)Fla. Admin. Code Ann. R. 65A-1.508 - Residence (Repealed)#

(508)(block-2)Notes#

(509)Fla. Admin. Code R. 65A-1.509#

(509)(block-1)Fla. Admin. Code Ann. R. 65A-1.509 - Citizenship (Repealed)#

(509)(block-2)Notes#

(510)Fla. Admin. Code R. 65A-1.510#

(510)(block-1)Fla. Admin. Code Ann. R. 65A-1.510 - Deprivation of Parental Support or Care (Repealed)#

(510)(block-2)Notes#

(511)Fla. Admin. Code R. 65A-1.511#

(511)(block-1)Fla. Admin. Code Ann. R. 65A-1.511 - Need (Repealed)#

(511)(block-2)Notes#

(512)Fla. Admin. Code R. 65A-1.512#

(512)(block-1)Fla. Admin. Code Ann. R. 65A-1.512 - Income (Repealed)#

(512)(block-2)Notes#

(513)Fla. Admin. Code R. 65A-1.513#

(513)(block-1)Fla. Admin. Code Ann. R. 65A-1.513 - Budgeting (Repealed)#

(513)(block-2)Notes#

(514)Fla. Admin. Code R. 65A-1.514#

(514)(block-1)Fla. Admin. Code Ann. R. 65A-1.514 - Temporary Cash Assistance Eligibility for Pregnant Women (Repealed)#

(514)(block-2)Notes#

(515)Fla. Admin. Code R. 65A-1.515#

(515)(block-1)Fla. Admin. Code Ann. R. 65A-1.515 - Special Provisions for Families Who Qualify Due to Unemployment of a Parent (Repealed)#

(515)(block-2)Notes#

(517)Fla. Admin. Code R. 65A-1.517#

(517)(block-1)Fla. Admin. Code Ann. R. 65A-1.517 - Immunization Program (Transferred)#

(517)(block-2)Notes#

(518)Fla. Admin. Code R. 65A-1.518#