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

Content: Once born, providers can activate the Medicaid coverage by following the instructions listed below: Using the card control number, look up the baby's eligibility record using the Web portal, MEVS, FaxBack, or AVRS (for further information on verifying eligibility, please see the Florida Medicaid Provider General Handbook, Chapter 3). If the message tells you that the baby is eligible, no further action is required. Be sure to write down the baby's Medicaid identification number for billing purposes. NOTE: If the baby's ID is active but Medicaid eligibility is not on file for the dates of service or certain demographic information appears incorrect such as date of birth, the Unborn Activation process can NOT be used to make these corrections. Further updates/corrections must be coordinated with DCF. If the baby's number is inactive, continue following these steps to activate the newborn's Medicaid identification number. Verify the mother was eligible for full Medicaid on the baby's date of birth by using the Web Portal, MEVS, FaxBack, or AVRS. The Medicaid fiscal agent will not activate the baby's coverage if the mother is not eligible or her eligibility category is MU (Presumptively Eligible Pregnant Woman) or her eligibility category is FP (Family Planning Services Only).