The Department will work to notify and communicate to all current Medicaid recipients their redetermination timeframes and next steps. If you need help in completing this application or need interpreter services, please contact ACCESS Florida at 1-BGG-762-17.Filling out this application doesn't mean you have to buy health coverage. Get help with this application. Spousal refusal acts as a loophole, allowing the non-applicant spouse to refuse to pay for care and allowing the applicant spouse to claim benefits anyway. For assistance, call the Access Florida Customer Call Center toll free number at (850) 3004323. The applicant must also fill out a spousal refusal form when submitting the Medicaid application. ― Accumulated medical bills. After completing this form, you should sign the form. You should then file this document with the clerk of the circuit court in the county where the petition.