Florida Brain Injury, Medicaid Long-Term Care, and Appeal Help: Official Starting Points

Use this page if you live in Florida and need brain injury services, Medicaid long-term care, or help responding to an eligibility or service decision.

ABI Resources provides care services in Connecticut. This Florida page is public educational information and does not mean ABI Resources provides services in Florida. Florida agencies and Medicaid health plans make their own decisions.

Start here

1. Keep the notice and envelope.

2. Identify whether the issue is Medicaid eligibility, long-term-care screening, medical eligibility, or a health-plan service decision.

3. Write the deadline at the top of the notice.

4. Call the official program and ask which appeal process applies.

5. Ask for communication help or a reasonable accommodation.

6. Keep proof of filing.

Official Florida brain injury program

The Florida Department of Health Brain and Spinal Cord Injury Program provides case management and resource facilitation for eligible Florida residents with qualifying traumatic brain or spinal cord injuries. Its official page explains referral, eligibility, services, and contacts.

• Florida Brain and Spinal Cord Injury Program

The state program has specific injury, residency, medical-stability, and rehabilitation criteria. Contact the program for an individual decision rather than assuming eligibility.

Florida Medicaid long-term care

Florida’s Medicaid Long-Term Care program serves eligible adults who need long-term services and supports. State agencies divide responsibility for screening, medical eligibility, financial eligibility, enrollment, and plan services.

• Florida Medicaid Long-Term Care Program

• Florida Medicaid covered services and waivers

• Florida long-term care services

Ask which agency made the decision and request the correct written notice.

If a Medicaid service is denied, reduced, or stopped

Florida’s Medicaid Fair Hearing page explains that a person who is enrolled in a Medicaid health plan generally must complete the plan appeal process before requesting a Medicaid Fair Hearing.

• Florida Medicaid Fair Hearings

Use the Notice of Adverse Benefit Determination and the plan identification card. Ask whether services can continue during the appeal and what earlier filing date applies.

If Medicaid eligibility is denied

Florida Department of Children and Families determines Medicaid financial eligibility for many applicants. Its official Medicaid page says a person who believes an ineligibility decision is wrong has appeal rights and should act promptly. The page currently tells applicants to appeal within 10 days of the denial letter.

• Florida DCF Medicaid information

• How to request a Florida public-assistance hearing

Eligibility appeals and service appeals are not the same process. Follow the notice that applies to your decision.

What to document

• Which agency or health plan made the decision.

• Notice date, effective date, and deadline.

• Requested service and current service.

• Functional, communication, health, and safety needs.

• Every contact name, date, reference number, and next step.

• The accommodation requested and the response.

More help from ABI Resources

• Brain Injury and Disability Help in Every State

• Medicaid Service Problems, Appeals, Complaints, and Federal Oversight

• Medicaid Service Problem Documentation Worksheet

Reviewed September 19, 2026. Verify current instructions on the linked government pages and your own notice. This page is general information, not legal or medical advice. Call 911 for an emergency or 988 for suicide or crisis support.