Title: 
Headings: Medicaid Eligibility for Newborn Babies
Medicaid
 
Eligibility
 
for
 
Newborn
 
Babies
 

Unborn
 
Activation
 
Process
 

Enrollment
 
in
 
a
 
Managed
 
Medical
 
Assistance
 
(MMA)
 
Plan
 

Enrollment
 
in
 
an
 
MMA
 
Specialty
 
Plan
 

Voluntary
 
Change
 
of
 
MMA
 
Plan
 
for
 
Baby
 

Unborn
 
Does
 
Not
 
Have
 
a
 
Medicaid
 
Number
 

Need
 
Help?
 

Newborn
 
Frequently
 
Asked
 
Questions
  


Content: Complete
 
an
 
Unborn
 
Activation
 
Form. This
 
form
 
and
 
instructions
 
can
 
be
 
found
 
at
 
http://ahca.myflorida.com/medicaid/newborn/index.shtml. Fill
 
out
 
the
 
form
 
completely
 
as
 
incomplete
 
forms
 
will
 
be
 
returned
 
to
 
you. Photocopies
 
of
 
this
 
form
 
are
 
acceptable. Completed
 
forms
 
can
 
be
 
faxed
 
to
 
the
 
Medicaid
 
fiscal
 
agent,
 
HP
 
Enterprise
 
Services,
 
at
 
1-877-
231-2170. Forms
 
can
 
also
 
be
 
mailed
 
to: HP
 
Enterprise
 
Services,
 
Recipient
 
Support
 
Contact
 
Center,
 
P.O.
 
Box
 
7090,
 
Tallahassee,
 
Florida
 
32314-7090. Within
 
2
 
working
 
days
 
of
 
receiving
 
the
 
completed
 
form,
 
HP
 
will
 
update
 
the
 
baby’s
 
information
 
and
 
activate
 
the
 
coverage. A
 
new
 
Medicaid
 
gold
 
card
 
will
 
be
 
issued
 
with
 
the
 
updated
 
name. Enrollment
 
in
 
a
 
Managed
 
Medical
 
Assistance
 
(MMA)
 
Plan
 

 
MMA
 
plans
 
are
 
responsible
 
for
 
the
 
coverage
 
and
 
payment
 
of
 
services
 
provided
 
to
 
the
 
baby
 
from
 
the
 
date
 
of
 
birth.