All new and existing clients that need eligibility or
re-certification will need to go through our new Eligibility process.
You will need to have eligibility determined for services PRIOR to making
your clinic appointment.* If applying for children, a social security
card for yourself and each child is required.
For more information or to schedule an appointment for Eligibility,
please call:
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Umatilla - (352)771-5501
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WWC - (352)360-6548
Eligibility Information:
Hours of Operation:
VanDee Medical Building
16 & 18 N. Eustis Street
Eustis, Florida 32726
Monday - Friday
8:00am - 5:00pm
|
Umatilla Clinic
249 E. Collins St. Umatilla, FL. 32784
Monday - Friday
8:00am - 5:00pm
|
List of Programs Eligible:
Maternity
The Eligibility Office offers Temporary Medicaid for up to 45
days to pregnant women. Clients must provide proof of pregnancy. Pregnancy
test can not be more than 2 weeks old and not self- administered.
Pediatrics
Provides pediatric care to children under the age of eighteen
(18)
Family Planning & Family Planning Waiver
Determine eligibility for women of child-bearing age who are interested
in contraceptive methods (birth control). Clients may be eligible for
Florida Medicaid Family Planning Waiver coverage after loosing full
Medicaid for childbearing women ages 14 - 55. The waiver program provides
limited family planning services for up to 24 months. We offer this
service to all residents of Lake and surrounding counties. (Family planning
Waiver does not cover Pregnancy Test)
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Depo-Provera Injection
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Birth Control Pills
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IUD
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Diaphram
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Emergency contraceptive
Hug-me
HIV/AIDS Program provides specialty and primary medical care for HIV/AIDS
patients. Eligibility is determined every six (6) mo.
Documents you will need to bring with you:
(PREGNANT WOMEN ONLY) Temporary Medicaid
You MUST Have Proof of PREGNANCY
Pregnancy Test can not be over 2 weeks old
NO Home Pregnancy or self administered tests accepted
1. IDENTIFICATION: (1 of the following)
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Florida Drivers License
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Florida State ID
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Resident Alien Card
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Passport
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ID from county of Origin
2. VERIFICATION OF RESIDENCY: (1 of the following)
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Florida Drivers License or Florida ID with Lake
County address
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Voter's Registration Card
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Lease agreement or utility bill
3. INCOME VERIFICATION:
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Pay check stubs or letter from employer on company letterhead
(most recent 4 stubs if paid weekly and 2 if paid bi-weekly)
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Unemployment Statement/Letter
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Notarized letter(s) of contribution from anyone
assisting you financially
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Self employment Log Book/ Income Tax Return
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Child Support - copy of award letter or receipt
of the amount
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Social Security/ SSD (except for SSI)
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Bank statement (only for Social Security clients)
Failure to provide required information may delay the eligibility process |