12-Month Florida Medicaid Postpartum Coverage

If you were eligible for Florida Medicaid while pregnant, Florida keeps you eligible through the 12-month postpartum period even if your income changes. DCF administers eligibility, and most covered services are delivered through Statewide Medicaid Managed Care. [FL-M1, FL-M2]

Continuous eligibility preserves access to primary care, specialists, prescriptions, mental-health and substance-use care, hospital services and other covered benefits throughout the postpartum year. [FL-M1, FL-M5]

You must be a Florida resident, have been pregnant, and meet current family-related Medicaid rules. The DCF income chart effective April 2026 lists monthly maximums of $2,608 for a household of 1; $3,537 for 2; $4,463 for 3; and $5,391 for 4, with higher amounts for larger households. Pregnancy household counting matters, so use the current chart and apply through MyACCESS rather than estimating. [FL-M2]

You remain enrolled in the Medicaid coverage available to you — not a pregnancy-only emergency benefit. Core managed-care benefits include physician and hospital care, prescriptions, mental-health and substance-use services, and transportation when the rules are met. From the Start aligns additional maternal supports. [FL-M5, FL-M6]

DCF says a pregnant Medicaid recipient remains eligible throughout the pregnancy and the 12-month postpartum period regardless of a change in family income. After that, DCF determines whether you qualify under another Medicaid category or need other coverage. [FL-M1]

Medicaid is described as free or low-cost public coverage, and the postpartum extension is not a separate premium plan. Cost-sharing for individual services depends on the rules that otherwise apply. [FL-M5]

If you are already a member, report the birth or end of pregnancy and add your baby through MyACCESS, and keep your contact information current. If you are pregnant and uninsured, apply through MyACCESS/DCF. Once you are enrolled in managed care, use your health plan for providers, authorizations, transportation and From the Start supports. [FL-M1, FL-M3, FL-M6]

DCF may request identity, Florida residency, household, income and pregnancy information. Existing members should keep contact information and pregnancy-outcome information current. [FL-M1, FL-M3]

Twelve months of eligibility does not mean every postpartum service is unlimited. Fee-for-service reproductive policy describes up to two postpartum visits within 90 days, and managed care or From the Start may differ. Keep service limits separate from the length of eligibility. [FL-M4, FL-M6]

Medicaid pays for health services. Healthy Start provides free coordination and home support. From the Start adds aligned maternal benefits including doula support, transportation enhancements, lactation help and selected high-risk services. FMLA and employer leave are separate systems. [FL-M6, FL-HS1]

Use your Medicaid plan's provider directory and Member Services. For help choosing or changing plans, call 1-877-711-3662. [FL-U1, FL-U2]

DCF and managed-care enrollment provide free language assistance, and Choice Counseling offers interpreter support. Provider-level language and cultural fit is a separate question. [FL-U3, FL-M7]

Ask DCF about other Medicaid pathways, and consider Marketplace or employer coverage. Healthy Start remains available beyond Medicaid. [FL-HS1]