How Do I Apply?

MomCare is available to women who meet the following requirements:

• Have proof of a positive pregnancy test on a physicians or pregnancy centers letterhead that states expected delivery date.
• Have a household income at between 150% and 185% of the poverty level. See Income Chart.
• Be a United States citizen or a legal alien.
• Be a Florida resident.
  

Filling out the Application

• Fill out applicant information in full. Answer questions 1-10 completely. Do not omit ANY information or skip ANY questions or approval of the application will be delayed or denied.
• Don't forget to have the applicant sign the form!
• Attach the applicant's positive pregnancy test results received from a health professional's office (results must be on letterhead) to the application.
• Affix postage and mail the application or fax to the Department of Children and Families address for the home zip code of the applicant.  Click here to see list of DCF Economic Self Sufficiency Services Centers including addresses and fax numbers.
  

Additional Considerations:

• Telephone: Please list a phone number and any alternate phone numbers where you can be reached.
• Other Income to Report: Social Security Numbers of the Pregnant Woman, the husband or the father of the baby, when he lives in the home with the pregnant woman; any Social Security or Child Support Income received for the pregnant woman's other children in the home.
• Pregnant Woman Under Age 21: If the pregnant woman resides with her parent(s), list the names of the parent(s.)
  

What is the process of MomCare?

Medicaid eligibility is determined at DCF
A.  Client completes simplified form declaring income and proof of pregnancy
B.  Local DCF office determines eligibility
C.  DCF notifies Consultec (fiscal agent)
D.  Consultec notifies the Coalition
E.  Consultec sends printed information about MomCare to the client

Initial contact with the client:
A. Maternity Care Advisor (MCA) explains the program
B. Client gives consent and given notice of privacy practices
C. A list of provider choices is given to client
D. MCA assists the client to select a provider
E. Assistance is offered in scheduling first or next appt
F. Client encouraged to complete HS screen
G. MCA facilitates WIC to the client
H. Client advised of right to change provider
I. Client advised of grievance procedure