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Florida Administrative Code (Last Updated: April 18, 2024) |
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64. Department of Health |
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64F. Division of Family Health Services |
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64F-19. Family Planning Waiver Program |
1In order to be eligible for family planning services under the Program:
13(1) 14The waiver applicant must have lost full Medicaid eligibility;
23(2) The waiver applicant must be eligible for the Program on or after December 1, 2006;
39(3) The waiver applicant must be actively seeking family planning services;
50(4) The waiver applicant must self-declare that she is not pregnant;
61(5) The waiver applicant must not have had a tubal ligation, hysterectomy or other evidence of permanent sterilization;
79(6) The waiver applicant must have an income at or below 185% of the current federal poverty level;
97(7) The waiver applicant must be a female between age 14 and 55;
110(8) The waiver applicant shall be required to sign a self-declaration statement of income, and provide proof of all gross income available to the client’s household;
136(9) The self-declaration statement shall include a signed acknowledgement that the statement is true and correct;
152(10) The waiver applicant whose labor and delivery was paid for as an emergency service under Medicaid or who did not qualify for Medicaid after the Presumptive Eligibility for Pregnant Women period are not eligible for this Program.
190(11) Waiver applicants losing the Second Omnibus Budget Reduction Act (SOBRA) Medicaid categories of SOBRA Pregnant Women (MMP), SOBRA Pregnant Women/Protected Eligibility (MMT), Refugee Assistance Program SOBRA Pregnant Women (MRMP) or Refugee Assistance Program SOBRA Pregnant Women/Protected Eligibility (MRMT) are passively enrolled in the Program for the first year of eligibility and will need to actively complete an application for the second year of eligibility.
255Rulemaking Authority 257154.011(5), 258381.0011(13), 259381.0051(7) FS. 261Law Implemented 263154.011 FS. 265History–New 8-9-04, Amended 2-17-08.
