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Florida KidCare - Title XXI – Children’s Health Insurance Program (CHIP)

Florida KidCare is the state’s children’s health insurance program for uninsured children who meet income and eligibility requirements.  The 1998 Legislature created Florida KidCare in response to the passage of Title XXI of the Social Security Act in 1997.  Florida KidCare provides health insurance to children in families with incomes up to 200 percent of the federal poverty level. Three state agencies and the Florida Healthy Kids Corporation, a non-profit organization, form the Florida KidCare partnership.  MediKids, Florida Healthy Kids and Title XXI Children’s Medical Services Managed Care Plan compose the Title XXI Children’s Health Insurance Program (CHIP).  CHIP is not an entitlement program and the families pay a monthly family premium of $15 or $20 depending on the family’s income.  Florida KidCare also includes Medicaid for children. 

Visit www.floridakidcare.org or call 1-888-540-5437.

The table below describes the four Florida KidCare components.

FLORIDA KIDCARE
  Medicaid Title XIX Children’s Health Insurance Program (CHIP) Title XXI
Components Medicaid for Children MediKids Healthy Kids Children’s Medical Services Managed Care Plan
Partner Agency Responsibility Department of Children and Families

Determines eligibility for Medicaid.
Agency for Health Care Administration

Administers the MediKids program.
Florida Healthy Kids Corporation

Determines eligibility for CHIP and administers the Healthy Kids program.
Department of Health

Administers the Children’s Medical Services Managed Care Plan.
Age group 0 through 18 1 through 4 5 through 18 1 through 18
for children with special health care needs
Premiums None $15/family/month – family income 134% to 158% of the federal poverty level
$20/family/month – family income over 158% to 200% of the federal poverty level
Copayments None None $5 or $10
most services
None
Full Pay Program None $157/child/month See the Healthy Kids’ website for premium information. None
Eligibility Determination Department of Children and Families or the Social Security Administration Florida Healthy Kids Corporation Florida Healthy Kids Corporation Florida Healthy Kids Corporation

Florida KidCare Resources

Program Evaluation

The annual Florida KidCare Program Evaluation is prepared by the Institute for Child Health Policy, University of Florida, under contract to the Agency for Health Care Administration. The KidCare Evaluation contains statistics related to KidCare services and demographics of program participants.

Florida KidCare Program Evaluation – State Fiscal Year 2015-2016 [2.44MB PDF]

Annual Report

2016 Federal Fiscal Year Annual Report for Florida KidCare Program [17.65MB PDF]

For questions regarding this report please email:  Angela.Wiggins@ahca.myflorida.com.

Florida KidCare Title XXI - Children's Health Insurance Plan (CHIP State Plan)

Amendment #25, July 1, 2014 [1.02MB PDF]

Affordable Care Act (ACA) CHIP State Plan Amendments