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

Content: 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). 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.