Title: 
Headings: 
59G-1.058
 
Eligibility.
 

(7)
 
Eligibility
 
Program
 
Codes
 
(also
 
known
 
as
 
Aid
 
Categories).
 
Florida
 
Medicaid
 
eligibility
 
program
 
codes
 
indicate
 
benefit
 
coverage
 
and
 
limitations,
 
as
 
follows:
 


Content: Newborn
 
Presumptive
 
Eligibility. A
 
newborn
 
is
 
deemed
 
eligible
 
for
 
full
 
Florida
 
Medicaid
 
covered
 
services
 
when
 
the
 
mother
 
is
 
eligible
 
for
 
Florida
 
Medicaid
 
on
 
the
 
date
 
of
 
the
 
child’s
 
birth,
 
unless
 
the
 
mother
 
is
 
eligible
 
under
 
the
 
PEPW
 
category. A
 
pregnant
 
recipient
 
may
 
obtain
 
a
 
Florida
 
Medicaid
 
identification
 
(ID)
 
number
 
and
 
Florida
 
Medicaid
 
ID
 
card
 
for
 
her
 
unborn
 
child. The
 
cards
 
are
 
issued
 
as
 
“baby
 
of”
 
plus
 
the
 
mother’s
 
name,
 
and
 
assigned
 
a
 
card
 
control
 
number
 
that
 
providers
 
use
 
to
 
obtain
 
the
 
baby’s
 
Medicaid
 
ID
 
number. The
 
baby’s
 
Florida
 
Medicaid
 
ID
 
number
 
will
 
not
 
be
 
active
 
until
 
after
 
the
 
baby
 
is
 
born. Providers
 
may
 
request
 
a
 
Florida
 
Medicaid
 
ID
 
number
 
assignment
 
for
 
a
 
newborn
 
via
 
a
 
Medical
 
Assistance
 
Referral
 
Form,
 
CF-ES
 
2039,
 
April
 
2003,
 
incorporated
 
by
 
reference
 
in
 
Rule
 
65A-1.400,
 
F.A.C.,
 
and
 
available
 
on
 
the
 
DCF
 
Website
 
at
 
https://eds.myflfamilies.com/DCFFormsInternet/Search/DCFFormSearch.aspx. (c)
 
Providers
 
may
 
activate
 
a
 
newborn’s
 
Florida
 
Medicaid
 
ID
 
number
 
by
 
submitting
 
a
 
completed
 
Unborn
 
Activation
 
Form,
 
AHCA
 
Form
 
5240-006,
 
February
 
2017,
 
incorporated
 
by
 
reference
 
in
 
Rule
 
59G-1.045,
 
F.A.C.,
 
to
 
the
 
Florida
 
Medicaid
 
fiscal
 
agent. (4)
 
Proof
 
of
 
Eligibility. Providers
 
must
 
verify
 
recipient
 
eligibility
 
prior
 
to
 
rendering
 
services. (5)
 
Recipient
 
Does
 
Not
 
Have
 
an
 
ID
 
Card.