Child Support Cooperation Good Cause / Refusal to Cooperate.Verification of Employment/Loss of Income.Verification of Dependent Care Expenses.If you want to apply for Food Assistance and/or Temporary Cash Assistance, in addition to Medicaid, print and fill out the ACCESS Florida Application below.įill out this application if you want to apply for Food or Cash Assistance, Family related Medical assistance, Relative Caregiver, Optional State Supplementation or medical assistance for Age 65 or over, Blind or Disabled, Medicaid Waiver/Home and Community Based Services, Hospice or Nursing Home Care. Print and fill out this application if you are pregnant or have children who are 20 or under living with you and only want to apply for Medicaid. Please note: Applications for assistance may be submitted electronically.
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