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Florida Medicaid for pregnant women

Who qualifies for Florida Medicaid, the income limit for your household size, what it covers and how to apply with Florida Department of Children and Families.

Limits as of January 2026 · Checked October 2026 · 24 sources

Apply for Florida Medicaid

Florida Department of Children and Families runs it. We're not the state agency, so you apply with them, online or with help from your clinic or hospital.

Start your application

Opens myflfamilies.com

Check your income against the limit

Short answer

In Florida, you qualify for pregnancy Medicaid if your household earns up to 196% of the poverty level: about $42,414 a year for a household of two (you and the baby). Coverage lasts 12 months after birth.

Florida pregnancy Medicaid income limits for 2026

Find your household size and compare your household's income with the limit. Florida Medicaid covers pregnancy up to 196% of the federal poverty level.

Florida Medicaid income limits2026 guidelines, 48 states and DC
HouseholdPer yearPer month
2you + 1 baby$42,414$3,535
3$53,547$4,462
4$64,680$5,390
5$75,813$6,318
6$86,946$7,245
7$98,078$8,173
8$109,211$9,101

Annual and monthly household income. See the 2026 poverty guidelines

Your baby counts

For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A household of three in Florida, two adults expecting one baby, can earn up to $53,547 a year ($27,320 × 196%).

Limits are percents of the poverty level from KFF and Georgetown CCF (January 2026) and include the standard 5-point income disregard. Florida rounds and updates on its own schedule, so treat the dollars as approximate.

Sources: KFF State Health Facts; U.S. Department of Health and Human Services (Federal Register); eCFR (National Archives). Data as of October 2026.

How to apply in Florida

  1. Count your household

    Count yourself plus each baby you're expecting, and anyone else the state counts with you. Find your size in the table above.

  2. Apply with Florida Department of Children and Families

    Apply on the state's site (myflfamilies.com). Go to the Florida Medicaid application

  3. Ask the hospital about temporary coverage

    Hospitals in every state may grant presumptive eligibility, which covers you while your full application is processed.

  4. Keep your coverage after birth

    Florida Medicaid covers you for 12 months after the pregnancy ends.

Get covered today

Check

Presumptive eligibility lets a qualified clinic or hospital enroll a pregnant person in temporary Medicaid right away, while the full application is processed.

We couldn't confirm whether Florida uses it for pregnancy. Hospitals in every state may make these determinations.

Source: KFF and Georgetown University Center for Children and Families. Data as of January 2025.

12 months

of Florida Medicaid coverage after birth, since July 1, 2022

KFF postpartum tracker, July 2026

What Florida Medicaid covers for pregnancy

Coverage after birth, plus the three extras people ask about most, each from our state-by-state trackers.

After birth

12 months
Florida Medicaid keeps covering you for 12 months after the pregnancy ends, a rule in place since July 1, 2022.
Postpartum coverage in every state

Doula care

Yes
In Florida, every Medicaid health plan offers doula services as an extra benefit, with visits and pay set by each plan; moms in fee-for-service Medicaid aren't covered.We list 1,012 doulas in Florida.
Doulas in FloridaDoula coverage in every state

Lactation support

Limited
In Florida, Medicaid doesn't pay for lactation consultant visits, but three managed care plans offer virtual lactation support as an extra benefit.
Lactation consultants in FloridaLactation coverage in every state

Breast pump

Limited
In Florida, Medicaid covers an electric breast pump only when a mother is separated from her baby for work, school or a medical reason, and prior authorization is required.
Breast pump rules in Florida and every state

What's changing

Rules that affect pregnancy coverage in Florida now and in 2027.

Sources: U.S. Government Publishing Office; Centers for Medicare & Medicaid Services; KFF and Georgetown University Center for Children and Families

More for families in Florida

All 50 states and DC

Questions about pregnancy Medicaid in Florida

What is the income limit for pregnancy Medicaid in Florida?

Florida Medicaid covers pregnancy for household incomes up to 196% of the federal poverty level. At the 2026 guidelines that's about $42,414 a year for a household of two, $53,547 for three and $64,680 for four. Limits are KFF's figures as of January 2026.

Does my unborn baby count in my household size?

Yes. For Medicaid, a pregnant woman's family size counts her plus the number of children she is expected to deliver (42 CFR 435.603(b)). A single pregnant woman expecting one baby is a household of two; expecting twins, a household of three.

How long does Florida Medicaid cover you after birth?

12 months after the pregnancy ends, a rule in place since July 1, 2022.

Can I get covered the same day in Florida?

We couldn't confirm whether Florida uses presumptive eligibility for pregnancy. Ask your clinic; hospitals in every state may make presumptive eligibility determinations.

How do I apply for pregnancy Medicaid in Florida?

Apply with Florida Department of Children and Families at myflfamilies.com. Count yourself plus each baby you're expecting as your household, and compare your income with the limit for that size. We're not the state agency and can't take applications.

Does Florida Medicaid pay for a doula?

In Florida, every Medicaid health plan offers doula services as an extra benefit, with visits and pay set by each plan; moms in fee-for-service Medicaid aren't covered.

Do pregnant women have to meet the new Medicaid work requirements?

Public Law 119-21 (2025) requires states to apply Medicaid work (community engagement) requirements to expansion adults ages 19-64 starting no later than January 1, 2027 (states may start earlier; HHS may grant good-faith exemptions that end by December 31, 2028). People who are pregnant or entitled to postpartum coverage are exempt, as are parents and caretakers of a dependent child 13 or younger.

We're not Florida Department of Children and Families and can't tell you whether you qualify. Apply at myflfamilies.com for a decision. Spot something out of date? Tell us and we'll check it against the state's own notice.

Sources

  1. 1.Medicaid and CHIP Income Eligibility Limits for Pregnant Women as a Percent of the Federal Poverty Level (as of January 2026) KFF State Health Facts. Accessed October 9, 2026.
  2. 2.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Prepare for Major Medicaid Policy Changes (Table 2, January 2026) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  3. 3.Medicaid Postpartum Coverage Extension Tracker (as of July 15, 2026) KFF. Accessed October 9, 2026.
  4. 4.Medicaid and CHIP Eligibility, Enrollment, and Renewal Policies as States Resume Routine Operations Following the Unwinding (Table 7: Presumptive Eligibility, January 2025) KFF and Georgetown University Center for Children and Families. Accessed October 9, 2026.
  5. 5.Florida Medicaid: how to apply Florida Department of Children and Families. Accessed October 9, 2026.
  6. 6.CMS approval of Florida Managed Medical Assistance section 1115 amendment (12-month postpartum extension) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  7. 7.Florida SB 2526 (2022), Health: effective date 7/1/2022 The Florida Senate. Accessed October 9, 2026.
  8. 8.Annual Update of the HHS Poverty Guidelines (91 FR 1797, Jan. 15, 2026) U.S. Department of Health and Human Services (Federal Register). Accessed October 9, 2026.
Show all 24 sources
  1. 9.42 CFR 435.603(b), definition of family size eCFR (National Archives). Accessed October 9, 2026.
  2. 10.Public Law 119-21, sec. 71119: Requirement for States to Establish Medicaid Community Engagement Requirements (adds SSA sec. 1902(xx)) U.S. Government Publishing Office. Accessed October 9, 2026.
  3. 11.SHO #26-001: Implementation of Section 71109 "Alien Medicaid Eligibility" (April 8, 2026) Centers for Medicare & Medicaid Services. Accessed October 9, 2026.
  4. 12.42 CFR 447.56(a)(2)(ii), exemptions from Medicaid cost sharing: pregnancy-related services eCFR / Code of Federal Regulations.
  5. 13.2025-2030 SMMC Plans: Expanded Benefits Florida Agency for Health Care Administration. Accessed October 9, 2026.
  6. 14.SMMC 3.0 Health Plan Expanded Benefits Grid (effective 2/1/2025) Florida Agency for Health Care Administration. Accessed October 9, 2026.
  7. 15.SB 514 (2026) Doula Support for Healthy Births pilot - bill history The Florida Senate. Accessed October 9, 2026.
  8. 16.SB 1508 (2026) The Motherhood Initiative - bill history The Florida Senate. Accessed October 9, 2026.
  9. 17.HB 1043 (2026) doula workforce development - bill history The Florida Senate. Accessed October 9, 2026.
  10. 18.Doula Medicaid Project: state-by-state chart of doula Medicaid efforts (last updated Sep. 2026) National Health Law Program (NHeLP). Accessed October 9, 2026.
  11. 19.State Trends in Medicaid Coverage of Doula Services (published April 1, 2026; data as of March 2026) National Academy for State Health Policy (NASHP). Accessed October 9, 2026.
  12. 20.SMMC Model Health Plan Contract Attachment I, Scope of Services - Update July 1, 2026 (Table 3: Approved Expanded Benefits) Florida Agency for Health Care Administration. Accessed October 9, 2026.
  13. 21.2026 Practitioner Fee Schedule Florida Agency for Health Care Administration. Accessed October 9, 2026.
  14. 22.Medicaid Coverage of Pregnancy-Related Services: Findings from a 2021 State Survey KFF. Accessed October 9, 2026.
  15. 23.Florida Medicaid Durable Medical Equipment and Medical Supply Services Coverage Policy: Specialized (Rule 59G-4.072) Florida Agency for Health Care Administration. Accessed October 9, 2026.
  16. 24.Durable Medical Equipment (DME) and Medical Supply Services Provider Fee Schedule for All Medicaid Recipients, July 1, 2026 Florida Agency for Health Care Administration. Accessed October 9, 2026.