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Off Campus Event Funding Request Form (please complete both sides of form) Organization: Current Number of Active Members: Contact Person: Email Address: Phone #: Name of Event: Date of Event: Anticipated.

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For Florida Medicaid members who are 21 and older, your dental plan will cover emergency-based dental services, including: Dental exams (limited) Dental X-rays (limited) Dentures.

Children with Medicaid in Florida get the following dental services at no cost: Dental exams. Dental screenings. Dental X-rays.

Prepaid. If you're a BlueDental PPO member, you have access to a large dental network in Florida and nationwide. If you choose a dentist in our network, you can realize greater savings, including low or no out-of-pocket costs for preventive services.

Individuals enrolled in the Medically Needy Program have income or assets that exceed the limits for regular Medicaid. A certain amount of medical bills must be incurred each month before Medicaid is approved. This is your “share of cost.”

Dental: Provides all Medicaid dental services for children and adults. All people on Medicaid must enroll in a dental plan.

Florida Medicaid covers the following emergency-based dental Medicaid services: Limited exams and X-rays, dentures, teeth extractions, sedation, problem-focused care and pain management. The dental practitioner must substantiate medical necessity and, in some cases, obtain advance authorization.

The Medically Needy Program assists individuals who would qualify for Medicaid except for having income that is too high. Individuals enrolled in Medically Needy may have a monthly “share of cost”, which is similar to an insurance deductible. The share of cost is determined by household size and gross monthly income.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232