Medicaid Expansion: Expanding Medicaid to provide coverage for the following children:

• under age 1 living in families up to 235% of the fpl
• aged 1-6 up to 200% of the fpl
• aged 15-19 up to 100% of the fpl (accelerated phase-in)

and

New Program: Expanding an existing program, Florida’s Healthy Kids Program, (With use of income disregards, coverage will be extended to some children up to 300% fpl.) to provide coverage for children aged 6-19 living in families at or below 200% of the fpl.

Mental Health Benefits

Medicaid All benefits provided under the Early Periodic Screening, Diagnosis, and Treatment (EPSDT) requirement in Medicaid, including: screening diagnosis and assessment; testing; psychotherapy; prescription drugs; partial hospitalization; emergency care; consultation and education; day treatment; in-home services; collateral services; therapeutic foster care; early intervention services; crisis programs; and services to youth in certain residential placements.services; crisis programs; and services to youth in certain residential placements.

Florida’s Healthy Kids Program
Inpatient: 15 days annual maximum
Outpatient: 20 mental health sessions annual maximum ($3 copay)

Inpatient Substance Abuse: 15 days annual maximum only for pregnant adolescents
Outpatient Substance Abuse: 20 sessions annual maximum only for pregnant adolescents
Wrap-around Services: none specified
Prescription Drugs: follows the Medicaid Formulary with generic substitution at copay for up to a 31 day supply