Fla. Admin. Code Ann. R. 64F-19.005 - Waiver Program Enrollment Process
Clients will be enrolled in the Program under the following conditions:
(1) The waiver applicant
must self-declare that she is not pregnant at the time of
application.
(2) The waiver
applicant must be actively seeking family planning services.
(3) The waiver applicant must not have had a
tubal ligation or a hysterectomy.
(4) The waiver applicant must provide proof
of citizenship and identity.
(5)
The waiver applicant must have an income at or below 185% of the current
federal poverty level.
(6) The
waiver applicant must complete and sign the application.
(7) The waiver applicant must have lost full
Medicaid and the FMMIS or subsequent system verifies this loss of full
Medicaid.
(8) The waiver applicant
must be age 14 to 55.
(9) Only
county health department staff who have completed training in the Program
eligibility process will determine eligibility for this Program.
(10) Applications for the Program may be
mailed or hand delivered by the client to the CHD.
(11) A face-to-face interview for eligibility
determination is not required.
(12)
A supervisor within the CHD will verify the application and its approval or
denial.
(13) Approval/denial
letters, with a description of the appeal process, must be provided to the
applicant by the county health department staff.
(14) The client who is approved for the
program will receive primary care referral information. The client is not
required to see a health care professional at the CHD.
(15) Eligibility for this Program must be
re-determined annually.
Notes
Rulemaking Authority 154.011, 381.0011(13), 381.0051(7) FS. Law Implemented 154.011, 381.0051 FS.
New 8-9-04, Amended 2-17-08.
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