Enhanced Benefits Reward$ Program


Florida Medicaid wants to encourage you to make healthy choices and participate in activities that will help keep you from getting sick. Beneficiaries in Florida Medicaid Reform plans will be eligible for enhanced benefits if they take part in specific activities. The goal is to reward your healthy behavior.

You will receive information on the activities that will earn enhanced benefits for you. When you complete one of the activities, credits will be deposited into an account for you. You will be able to access the credits in that account to pay for over the counter health-related supplies that are not already covered by Florida Medicaid, such as vitamins. If you leave Florida Medicaid coverage, you may still use the remaining credits in your enhanced benefit account to pay for health related supplies.

Enhanced Benefits Call Center
1-866-421-8474



Next Enhanced Benefits Panel Meeting - March 2, 2012 NEW


Previous Meeting Information


Pharmacy Provider Information

Pharmacist's New EBA Billing Instructions, Effective January 25, 2011 [46KB PDF]

Enhanced Benefits Pharmacy Provider Letter, October 1, 2006 [31KB PDF]

Complete List of Over-the-Counter Products [5.91MB Microsoft Excel]

Complete List of Over-the-Counter Products [1.82MB PDF]

Products listed on this list may or may not be at the pharmacy of your choice, this list represents products available through the Enhanced Benefits Rewards Program.

Health Plan Information

Frequently Asked Questions #1, September 12, 2006 [69KB PDF]

Enhanced Benefits Policy Letter, 9/7/06 [2.15MB PDF]



Monthly Enhanced Benefits Report

Below are all the documents and information need to complete and submit your monthly report.

Enhanced Benefits Report 3 digit Identifier [8KB PDF]

File Layout Enhanced Benefits Monthly Report, as of October 2, 2006 [10KB PDF]

Naming Convention Enhanced Benefits Monthly Report, as of March 12, 2007 [22KB PDF]

File Layout Enhanced Benefit Information System Rejected Records [11KB PDF]

CPT and EB Codes (December 1, 2009) [17KB PDF]
CPT and EB Codes (new codes effective July 2011) [241KB PDF]
CPT and EB Codes (new codes effective July 2011) [63KB Microsoft Excel]

Maintenance Drugs [1.16MB PDF]
Maintenance Drugs [2.08MB Microsoft Excel]

Maintenance Drugs (New Codes only) [313KB PDF]
Maintenance Drugs (New Codes only) [650KB Microsoft Excel]

Maintenance Drugs (New Codes only) [2.31MB PDF] NEW 10/13/11
Maintenance Drugs (New Codes only) [1.37MB Microsoft Excel] NEW 10/13/11


EBIS Credit File Validator

In order to use the new EBIS Health Plan Credit File Validator, you must do the following:

  1. Delete the folder that contains all of the files.
  2. If you have installed the previous version via the setup.exe you will need to uninstall it first with add/remove programs.
  3. Then unzip the ZIP [1.17MB] file, it will extract 2 files: EBIS.FileFormatValidator.Setup.msi and setup.exe. 
  4. Execute the setup.exe file to start the installation. 
  5. If you need assistance please e-mail the enhanced benefits e-mail at enhancedbenefit@ahca.myflorida.com .

Email your comments and suggestions on Enhanced Benefits to
enhancedbenefit@ahca.myflorida.com

Please include your complete name and a daytime phone number where you can reached.





Reporting Medicaid Fraud