Florida Medicaid Appeals Toolkit – 1st Edition

This Toolkit is intended to help Medicaid recipients and their advocates better understand the termination notice, determine whether an appeal is appropriate, and navigate the appeal process. The language in this guide is intended to be accessible to everyone. Tips are inserted throughout the guide to provide additional advice for anyone filing an appeal. Occasionally, attorney tips are included to provide more detailed guidance relevant to attorneys representing individuals in Medicaid appeals. Citations to relevant statues are also included in endnotes to assist attorneys using this guide.

This Toolkit is a work in progress. As such, there will be updates as more information about the appeal process becomes available. Please send questions, comments, and redacted materials to help@floridahealthjustice.org for inclusion in these updates. We know that the need for the Toolkit will remain even after the “Medicaid unwinding” ends.

We are extremely grateful to the Florida Bar Foundation for its generous Administration of Justice grant which made this Toolkit possible.

We would also like to thank Suzanne Baldwin, a rising 2L at the University of Florida Fred Levin College of Law, and Ruby Shealy, a rising 2L at Harvard Law School, who worked diligently to collect, organize, and refine much of the material in this Toolkit.

Download toolkit here