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 352-771-5500.

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Verification Documents

1. Identification: (1 of the following) Florida drivers license or state ID, resident alien card, or official passport from county of origin
2. Verification of Residency: (1 of the following) Florida drivers license or state ID with Lake County address, voter's registration card
3. Income Verification: 
   • Employment pay statement or letter from employer on company letterhead (most recent four statements if paid weekly, and two if paid bi-weekly)
   • Unemployment statement/letter
   • Notarized letter(s) of contribution from anyone assisting you financially
   • Self employment log book or income tax return
   • Child support award letter or receipt of the amount
   • Social Security benefits statement (except for SSI)
   • Bank statement (only for Social Security clients)

Failure to provide required information may delay the eligibility process.

Programs

Family Planning and Family Planning Waiver
Determine eligibility for women of child-bearing age who are interested in family planning services. 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 testing.

For more information, call 352-771-5500.

Specialty Care HIV/AIDS
HIV/AIDS Program provides specialty and primary medical care for eligible HIV/AIDS patients. Eligibility is determined yearly.