Palm Beach County Medicaid Resource Center
Palm Beach County Medicaid is part of Florida's statewide Medicaid program. Residents of West Palm Beach, Boca Raton, Delray Beach, Boynton Beach, Lake Worth Beach, Jupiter, Wellington, Riviera Beach, Belle Glade and other Palm Beach County communities use the
Florida Medicaid system for applications, renewals, eligibility, managed care and covered services.
Palm Beach County is part of Florida Medicaid Region G. Region G includes Indian River, Martin, Okeechobee, Palm Beach and St. Lucie counties.
This guide provides important Palm Beach County Medicaid resources, phone numbers, addresses, managed care information and information about a current 2026 Medicaid issue affecting plan enrollment.
Palm Beach County is in Florida Medicaid Region G.
Region G includes:
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Indian River County
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Martin County
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Okeechobee County
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Palm Beach County
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St. Lucie County
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Florida's current Statewide Medicaid Managed Care regional structure identifies Palm Beach County as Region G. Your Medicaid region matters because managed care plans and enrollment options are organized geographically.
Palm Beach County Medicaid Managed Care
Most Florida Medicaid recipients receive healthcare services through the Statewide Medicaid Managed Care program.
Your Medicaid managed care plan can affect access to:
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Primary care doctors
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Specialists
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Hospitals
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Pharmacies
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Behavioral health providers
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Other covered healthcare services
Provider networks can change. Before receiving non-emergency care, verify that the provider accepts your current Medicaid managed care plan.
Medicaid Choice Counseling
Florida Medicaid provides free Choice Counseling assistance to people who need help selecting or changing a health or dental plan.
Medicaid Choice Counseling:
1-877-711-3662
TDD:
1-866-467-4970
You can also access managed care information through the Florida Medicaid managed care website.
Current Palm Beach County Medicaid Issue: 2026 Managed Care Open Enrollment
One of the most important current Medicaid issues for Palm Beach County recipients is the 2026 Statewide Medicaid Managed Care annual open enrollment period.
Florida's 2026 open enrollment period runs from:
October 1, 2026 through November 30, 2026.
The enrollment period applies to Medicaid managed care enrollees in all Florida regions, including Palm Beach County's Region G. During open enrollment, an enrollee can choose a different available managed care plan or remain with the current plan.
How to Fix or Address the Problem
If you receive an open enrollment notice, don't ignore it.
Review your current plan and determine whether:
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Your doctors are still in the plan's network.
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Your preferred hospital participates in the plan.
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Your specialists participate in the plan.
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Your prescriptions are covered.
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Your pharmacy is participating.
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Your transportation benefits meet your needs.
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Your current authorizations and ongoing treatments will continue.
If you want to change plans during open enrollment, Florida Medicaid provides three options:
Text: Text ENROLL to FL SMMC (357662).
Online: Use flmedicaidmanagedcare.com.
Phone: Call 1-877-711-3662 and speak with a Medicaid Choice Counselor.
Plan changes requested during the October 1-November 30, 2026 open enrollment period are scheduled to become effective December 1, 2026.
If You Want to Keep Your Current Plan
You do not necessarily need to change plans.
Florida's open enrollment notice states that Medicaid enrollees may remain with their current plan or select another available plan during the open enrollment period.
Before deciding whether to change, check your current plan's provider network and covered services.
Palm Beach County Medicaid Applications
Palm Beach County residents can apply for Florida Medicaid through MyACCESS, Florida's online public benefits portal.
Palm Beach County Medicaid Renewal
Medicaid recipients should monitor their MyACCESS account and mail for renewal notices.
If Florida requests additional documentation, submit the requested information by the deadline listed in the notice.
For MyACCESS assistance:
850-300-4323
If you have questions about a Medicaid managed care plan rather than your eligibility case, contact Medicaid Choice Counseling at 1-877-711-3662.
Florida Medicaid Help Line for Palm Beach County
The Florida Medicaid Help Line can assist with Medicaid questions, managed care problems and complaint resolution.
Florida Medicaid Help Line: 1-877-254-1055
TDD: 1-866-467-4970
Hours: Monday-Friday, 8 a.m.-5 p.m. ET
Florida Medicaid identifies this number as a resource for recipient assistance and complaints involving managed care plans.
Important Phone Numbers
MyACCESS Customer Call Center 850-300-4323
Florida Medicaid Help Line 1-877-254-1055
Medicaid TDD 1-866-467-4970
Medicaid Choice Counseling 1-877-711-3662
Choice Counseling TDD 1-866-467-4970
Florida Relay 711
Important Addresses
Palm Beach County DCF Service Center
For residents who have been directed to an in-person Department of Children and Families location for an ACCESS-related matter:
Florida Department of Children and Families
111 S. Sapodilla Ave., #3
West Palm Beach, FL 33401
Phone: 561-837-5078
Palm Beach County residents should verify that the office handles their particular Medicaid or ACCESS issue before traveling to the location.
For many Medicaid applications and case-management tasks, MyACCESS and the 850-300-4323 Customer Call Center are the primary starting points.
Riviera Beach Service Center
2051 Martin Luther King Jr. Blvd.
Riviera Beach, FL 33404
Phone: 866-762-2237
This location is associated with Florida Department of Children and Families public-assistance services. Confirm the specific service available before visiting.
Palm Beach County Medicaid Resources for Managed Care Problems
If you are having a problem with your Medicaid managed care plan, start by contacting the plan listed on your Medicaid identification card.
Common managed care problems include:
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A doctor is no longer showing as participating.
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A specialist appointment is difficult to obtain.
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A prescription is denied.
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A prior authorization is delayed or denied.
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A service is denied.
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A transportation problem occurs.
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A provider says the plan is not accepted.
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Your plan information appears to have changed.
Step 1: Contact Your Medicaid Health Plan
Call the Member Services number on your Medicaid plan identification card.
Explain the problem and request assistance.
Keep a record of:
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Date of the call
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Representative's name
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Reference or confirmation number
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Service involved
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Provider involved
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Any deadline given to you
Step 2: Request a Grievance or Appeal When Appropriate
If your managed care plan denies or limits a service, review the notice you received. The notice should explain available appeal or grievance rights and applicable deadlines.
Step 3: Contact Florida Medicaid
If you need help resolving a managed care issue, contact:
Florida Medicaid Help Line:
1-877-254-1055
TDD:
1-866-467-4970
Florida Medicaid states that recipients may contact the Medicaid Help Line for complaint resolution involving their health or dental plan.
Step 4: Contact Medicaid Choice Counseling for Plan Changes
If your problem is related to choosing or changing your managed care plan:
1-877-711-3662
Choice counselors can explain available plan options and help with enrollment.
Palm Beach County Medicaid Enrollment Data
Palm Beach County is a significant Medicaid population center within Region G.
Florida AHCA reported 224,027 Medicaid eligibles in Palm Beach County as of January 31, 2026, across the age categories included in its county enrollment report. Region G had 342,359 Medicaid eligibles in the same report.
The size of the county's Medicaid population makes keeping plan, provider-network and enrollment information current particularly important for Palm Beach County recipients.
Palm Beach County Medicaid Current Issues: CMS Plan Transition
Another current 2026 issue involves Florida's Children's Medical Services (CMS) Plan.
Beginning October 1, 2026, the CMS Plan will transition from Sunshine State Health Plan to Molina Healthcare of Florida statewide. Current CMS Plan recipients will be automatically transferred to Molina unless they choose another available plan.
How to Address the CMS Plan Transition
If your child is enrolled in the CMS Plan:
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Watch for information about the transition.
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Confirm the new plan information.
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Check whether your child's doctors and specialists are participating.
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Confirm prescriptions and pharmacies.
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Keep copies of existing authorizations.
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Contact the child's care manager if you have questions.
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Contact Medicaid Choice Counseling if you want to select another available plan.
Florida has established continuity-of-care protections for recipients transitioning from Sunshine to Molina. The transition information states that recipients can continue seeing current providers during the applicable continuity-of-care period, and existing prior authorizations approved before October 1, 2026, are to be honored under the transition provisions.
For CMS Plan questions after the transition, Molina lists 800-262-0750, TTY 711, for CMS Plan Member Services.
Palm Beach County Medicaid at a Glance
Region G Indian River, Martin, Okeechobee, Palm Beach & St. Lucie
MyACCESS Medicaid applications and case management
MyACCESS phone 850-300-4323
Medicaid Help Line 1-877-254-1055
Medicaid TDD 1-866-467-4970
Choice Counseling 1-877-711-3662
DCF West Palm Beach111 S. Sapodilla Ave., #3, West Palm Beach, FL 33401
DCF phone 561-837-5078
Riviera Beach Service Center 2051 Martin Luther King Jr. Blvd., Riviera Beach, FL 33404
Riviera Beach service phone 866-762-2237
2026 Open Enrollment October 1-November 30, 2026
Open Enrollment plan changes effective December 1, 2026
CMS Plan transition Sunshine to Molina, October 1, 2026
Molina CMS Member Services 800-262-0750