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Monday, May 30, 2011

Eligibility

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:

Umatilla Health Center - (352) 771-5501

Leesburg Health Center - (352) 360-6548

Hours of Operation

Leesburg Health Center
2113 Griffin Road, Leesburg, FL 34788
Monday - Wednesday - 8:00am - 5:00pm
Thursday - 8:00am - 12:00noon
Friday - 8:00am - 5:00pm

Umatilla Health Center
249 E. Collins St., Umatilla, FL. 32784
Monday - Wednesday - 8:00am - 5:00pm
Thursday - 8:00am - 12:00noon
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)

  • Depo-Provera Injection
  • Birth Control Pills
  • IUD
  • Diaphram
  • 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

(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)

  • Florida Drivers License
  • Florida State ID
  • Resident Alien Card
  • Passport
  • ID from county of Origin

2. VERIFICATION OF RESIDENCY: (1 of the following)

  • Florida Drivers License or Florida ID with Lake County address
  • Voter's Registration Card
  • Lease agreement or utility bill

3. INCOME VERIFICATION:

  • Pay check stubs or letter from employer on company letterhead (most recent 4 stubs if paid weekly and 2 if paid bi-weekly)
  • Unemployment Statement/Letter
  • Notarized letter(s) of contribution from anyone assisting you financially
  • Self employment Log Book/ Income Tax Return
  • Child Support - copy of award letter or receipt of the amount
  • Social Security/ SSD (except for SSI)
  • Bank statement (only for Social Security clients)

Failure to provide required information may delay the eligibility process

Additional Info

Last modified on Wednesday, December 05, 2012
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