Title: AHCA: Medicaid Services
Headings: Medicaid Newborn Eligibility Policy
Medicaid Newborn Eligibility Policy
Unborn Activation Process
Provider Inquiry Newborn Spreadsheet
Managed Care Plans

Content: Providers and Medicaid managed care plans should submit a newborn activation request through the Newborn Activation feature in the Florida Medicaid Secure Web Portal and Florida Health Plan Portal. Additional instructions and a quick reference guide can be found on the Florida Medicaid Web Portal. Within two working days after after a completed submission through the portal, the Medicaid fiscal agent will update the newborn's name, gender, and birth date and activate the coverage. Once the newborn's name is updated on file, a new Medicaid gold card is issued with the updated name. If the mother is in a Medicaid managed care plan, the baby will be retroactively enrolled in the same managed care plan as the mother for the first three months of life unless the mother voluntarily enrolls the baby in a different managed care plan. If you have any questions regarding this process, please contact Recipient and Provider Assistance. Provider Inquiry Newborn Spreadsheet
If you know the mother is pregnant, Medicaid eligible, and her unborn child does not have a number, you may have the baby added by emailing a password protected Master Unborn Provider Spreadsheet [19KB MS Excel] to the statewide DCF email address identified on the spreadsheet. This spreadsheet can also be used to contact DCF to request assistance regarding missing eligibility for newborns or issues concerning incorrect demographics such as discrepancies in dates of birth. Please review the Provider Unborn Update Spreadsheet Completion Guide [35KB PDF] for further instructions on completing and submitting inquiries to DCF. Managed Care Plans
Information regarding newborn eligibility and unborn activation procedures specific to Medicaid managed care plans can be found in Attachment II, Exhibit II-A Managed Medical Assistance (MMA) Program, of the SMMC Contract found on the SMMC Plans page.