Navigating Medicaid Approval In Florida

This article will cover:

• The typical time frames for receiving a decision on a Florida Medicaid application.
• The most common reasons for denial of Medicaid claims in Florida.
• How a skilled attorney for Medicaid Law can help to ensure that the Medicaid application process is smooth and accurate.

How Soon After Applying For Florida Medicaid Will I Receive An Approval Or Denial?

In Florida, the usual turnaround time for a Medicaid application decision is within 90 days of receipt. However, due to the COVID-19 pandemic and recent events, this timeframe may not always be adhered to.

In a straightforward case with minimal assets and sources of income, the decision may come more quickly. However, in a more complex case, the process may take longer. Legally, the state has 90 days to make a decision on the application.

What Are The Most Common Reasons Medicaid Claims Are Denied?

There are several reasons why a Medicaid claim may be denied. The first is due to the five-year lookback period, which requires the state to review the applicant’s assets and transfers over the past five years. If there are any transfers of assets over a certain amount, the state may ask for substantiation, which could lead to a denial or an ineligibility period.

The second most common reason for denial is non-disclosure of assets, including interests in other states or countries. The applicant must disclose all assets, regardless of their location, to avoid denial.

Finally, a lack of experience and knowledge in the application process can lead to denial. The process of applying for Medicaid is complex, requiring a significant amount of paperwork, and many families make mistakes when applying without the help of an attorney. This can result in the denial of their claim, causing frustration and fatigue. In these cases, it may be more beneficial to hire a professional to assist with the application process to ensure that it is done correctly the first time.

To ensure that your Medicaid application is successful, it may be in your best interest to consult with a skilled attorney for Medicaid Law. With their guidance, you can have peace of mind knowing that the process will be made easier for you. If you have any questions about Medicaid Law in Florida, you can schedule an initial consultation by calling (561) 907-7848.