MediEnroll AI
Florida Medicaid Application
Screen 1 of 16
Sunshine ALF · Tampa, FL
90M
Americans are eligible
for Medicaid.
Millions of them are
not enrolled.
The Problem
Not because they
don't qualify.
📋
18-page paper applications
Confusing, intimidating, and easy to abandon mid-process.
🧭
Limited navigator access
Expensive specialist staff — not available 24/7. Patients fall through the cracks.
💸
Uncompensated care crisis
Every unenrolled patient costs health systems thousands in lost Medicaid revenue.
👩‍⚕️
"Every day, eligible patients leave our facility without coverage — not because they don't qualify, but because no one guided them through the process."
— Health system patient access director
$10M+
Lost revenue per
health system / year
$3K–10K
Value per enrolled
patient per year
🏥
Introducing
MediEnroll AI
by Enrollix Health
An AI-powered, mobile-first Medicaid enrollment platform that guides every uninsured patient from eligibility screening to approved coverage — fully automated.
FHIR R4 AWS Bedrock Mobile First HIPAA Compliant
How it works
Five steps. Fully automated.
Zero staff burden.
1
Patient identified
Staff shares a link or QR code at point of care
2
AI screens eligibility
Real-time check against state Medicaid rules via CMS API
3
Application completed
EHR data pre-fills via FHIR R4 — AI guides every remaining field
4
Submitted to state
Direct submission to FL ACCESS, SCDHHS, GA Gateway
5
Coverage confirmed ✓
Patient enrolled. Revenue recovered. Status flows back to EHR.
Live Demo
Meet Maria.
28 years old. Pregnant. Working part-time.
Uninsured — but eligible.
MR
Maria Rodriguez
Tampa, FL · Works at Sunshine ALF
Monthly income
$1,400
Household
3 people
Income at FPL
89%
FL limit
191% ✓
✅ Maria qualifies for Florida Medicaid
Watch MediEnroll AI guide her through the entire application — from uninsured to enrolled.
🏥
MediEnroll AI
Powered by Enrollix Health
MR
Maria Rodriguez
Referred by Sunshine ALF · Tampa, FL
A MediEnroll navigator has started your Florida Medicaid application. We'll guide you through every step — approximately 10 minutes.
What you'll need
🪪Photo ID — driver's license or state ID
💵Recent pay stub or proof of income
🤰Proof of pregnancy — doctor's note
🔢Social Security Numbers for household
🔒Encrypted · HIPAA compliant · Secure submission

Pre-Screening Result

Based on information from Sunshine ALF

✅ Likely Eligible
Florida Medicaid — Pregnant Women
Based on your household size and monthly income, you likely qualify for Florida Medicaid as a pregnant woman. Coverage includes prenatal care, delivery, and 12 months of postpartum coverage.
89%
Your FPL
191%
FPL Limit
HH·3
Household
This is a preliminary result. Final eligibility is determined by Florida DCF after reviewing your completed application.
Application Journey
✓ Eligibility screened
Completed by Sunshine ALF navigator
Complete application
~10 min · guided by MediEnroll AI
Submit to DCF
Automatic on completion
Receive decision
Typically within 45 days

Section A · Personal Information

Primary applicant details

Fields marked AUTO-FILLED were populated from your facility's EHR via FHIR R4 integration.
Legal First Name
Maria
AUTO-FILLED
Legal Last Name
Rodriguez
AUTO-FILLED
Middle Name
Elena
AUTO
Date of Birth
03/14/1997
AUTO
Social Security #
555-12-3456
AUTO
Gender
Female
AUTO
Ethnicity (Optional)
Hispanic or Latino
Marital Status
Married
U.S. Citizen
Yes ✓
AUTO
Phone Number
(813) 555-0192
AUTO-FILLED
Email Address
AUTO-FILLED

Section A · Address & Residency

Current living situation

Street Address
2847 Palmetto Ave
AUTO-FILLED
City
Tampa
AUTO
State / ZIP
FL 33602
AUTO
County
Hillsborough
Time at Address
2 yrs 4 mo
Mailing Address Same?
Yes
RESIDENTIAL SITUATION
Living Situation
Private residence — renting apartment
Facility Name
Sunshine ALF
AUTO-FILLED
Landlord / Property Manager
Palmetto Gardens LLC · (813) 555-0344
Florida Resident
Yes — verified ✓
For ALF and nursing home residents, only the applicant, spouse, and dependents are listed as household members.

Section A/B · Household Members

All persons in the household

MR
Maria Rodriguez Applicant
Primary applicant · Self
Date of Birth
03/14/1997
SSN
555-12-3456
Citizenship
U.S. Citizen
Applying?
Yes
CR
Carlos Rodriguez Spouse
Husband · Not applying
Date of Birth
07/22/1994
SSN
Not required
Citizenship
U.S. Citizen
Applying?
No
👶
Unborn Child Dependent
Expected · September 2026
Relationship
Unborn child of applicant
Expected Due Date
September 12, 2026
Unborn child will be auto-enrolled upon birth under FL KidCare / Medicaid for Children.

Section B/C · Children & Absent Parents

Children in household and absent parent info

Children under 19 in household?
No current children — expecting first child September 2026
UNBORN CHILD INFORMATION
Currently Pregnant?
Yes — 24 weeks
Expected Due Date
09/12/2026
Weeks Along
24 weeks
Attending Physician
Dr. Angela Torres, OB/GYN
Physician Address
Tampa General Hospital, 1 Tampa General Cir, Tampa FL 33606
Father of Unborn Child
Carlos Rodriguez — husband, present in household
ABSENT PARENT — SECTION C
Section C Status
Not applicable — father present in household
Since the father is present in the household, Section C (absent parent) does not apply to this application.

Section D · Employment & Status

Work history, residency, and special circumstances

Employment Status
Part-time employed
Hours / Week
24 hrs/week
Employer Name
Sunshine ALF
AUTO-FILLED
Employer Address
4200 N Dale Mabry Hwy, Tampa FL 33607
AUTO-FILLED
Start Date
March 2024
Spouse Employment
Full-time · construction
SPECIAL CIRCUMSTANCES
Residential Situation
Standard household — private residence, Tampa FL
Homeless / Temporarily displaced?
No
Drug / Alcohol treatment?
No
Domestic violence situation?
No
DISABILITY & CRIMINAL HISTORY
SS Disability determination?
No
State disability determination?
No
Felony drug conviction after 8/22/1996?
No
Fleeing felon / probation violation?
No

Section E · Assets

All household assets — full disclosure required

For pregnant women applying for standard Medicaid, asset limits generally do not apply. All assets must still be disclosed.
BANK ACCOUNTS
Checking — Wells Fargo
$847.32
Savings Account
$1,250.00
VEHICLES
Vehicle 1
2018 Honda Civic — est. $11,500
Vehicle 2
None
REAL PROPERTY & OTHER ASSETS
Real Property
None
Life Insurance
None
IRA / Retirement
None
Stocks / Bonds
None
Burial Contract
None
Annuities
None
Promissory Notes / Loans Owed to You
None
Voter Registration
Already registered — Hillsborough County

Section F · Income

All sources of household income

APPLICANT INCOME — MARIA
Employment Wages (monthly gross)
$1,400.00 / month
AUTO-FILLED
Tips / Commissions
$0
Self-Employment
None
SSI / SSDI
None
Unemployment
None
Child Support
None
Alimony
None
VA Benefits
None
Rental Income
None
Dividends / Interest
None
Other Income
None
SPOUSE INCOME — CARLOS
Spouse Monthly Wages
$0 — not applying, not counted
TAX FILING
Filed Taxes Last Year?
Yes — MFJ
Claimed as Dependent?
No
Miller / Income Trust?
No
✓ Income Summary
Total monthly household income: $1,400.00
89% of Federal Poverty Level for HH of 3
Well below the 191% FPL limit for pregnant women ✓

Section G · Monthly Expenses

Household expenses affecting eligibility

HOUSING
Monthly Rent
$950.00 / month — apartment rental
Mortgage
None — renting
Property Taxes
None
UTILITIES
Electric / Gas / Fuel
$110.00 / month (TECO Energy)
Telephone / Cell Phone
$65.00 / month
MEDICAL EXPENSES
Prescriptions
$45.00 / mo
Doctor Visits
$120.00 / mo
Health Ins Premiums
None — uninsured
Transportation
$40.00 / mo
Outstanding Medical Bills
$2,400 — Tampa General prenatal visits

Section H · Health Insurance

Current and prior insurance information

Currently Insured?
No — uninsured
Eligible for Employer Insurance?
No — part-time, not eligible
Medicare?
No
VA Health Benefits?
No
TriCare / Military?
No
Prior Insurance?
Never insured
Insurance Voluntarily Cancelled?
N/A — never had insurance
ADDITIONAL PROGRAMS
Lifeline Reduced Telephone Rate?
Yes — interested
American Indian / Alaska Native?
No
Authorized Representative
Sunshine ALF — Navigator on file
Sunshine ALF has been designated as an authorized representative to assist with this application on Maria's behalf.

Document Verification

AI-powered reading via AWS Textract

MediEnroll AI reads your documents automatically — no manual data entry required.
🪪
Florida Driver's License
✓ Uploaded & verified
⚡ Textract extracted
Full nameMaria E. Rodriguez
Date of birth03/14/1997
ID numberR123-456-78-9012
Address2847 Palmetto Ave, Tampa FL
Expires03/14/2029
💵
Pay Stub — Sunshine ALF
✓ Uploaded & verified
⚡ Textract extracted
EmployerSunshine ALF LLC
Pay period03/01–03/15/2026
Gross pay$700.00
Monthly estimate$1,400.00
YTD gross$4,200.00
🤰
Proof of Pregnancy
✓ Uploaded & verified
⚡ Textract extracted
PatientMaria E. Rodriguez
Weeks pregnant24 weeks
Due date09/12/2026
PhysicianDr. Angela Torres OB/GYN
✅ All Documents Verified
3 of 3 uploaded · Application fields auto-populated

Application Review

Review all sections before submitting to DCF

All information has been verified. Tap any section to edit before submitting.
SECTION A · PERSONAL
Full nameMaria Elena Rodriguez
Date of birthMarch 14, 1997 (Age 28)
SSN555-12-3456
Gender / MaritalFemale · Married
Address2847 Palmetto Ave, Tampa FL 33602
CitizenshipU.S. Citizen ✓
SECTIONS B/C · HOUSEHOLD
Household size3 persons
SpouseCarlos Rodriguez
PregnantYes — due 09/12/2026
Absent parentN/A — father in home
SECTION D · EMPLOYMENT
EmploymentPart-time · Sunshine ALF
Living situationPrivate rental — Tampa FL
Criminal historyNone
SECTION E · ASSETS
Bank accounts$2,097.32
Vehicle2018 Honda Civic
Other assetsNone
SECTION F · INCOME
Monthly wages$1,400.00
Other incomeNone
FPL percentage89% — qualifies ✓
SECTION G/H · EXPENSES & INSURANCE
Monthly rent$950 (apartment)
Medical expenses$205/mo
Current insuranceNone — uninsured
DOCUMENTS
FL Driver's License✅ Verified
Pay stub — Sunshine ALF✅ Verified
Proof of pregnancy✅ Verified

Signature & Consent

Authorization to submit your application to DCF

By signing, you certify all information is true and correct. Providing false information may result in denial and civil or criminal penalties.
Rights & Responsibilities

I understand I must report changes within 10 days. I authorize DCF to verify all information with employers, financial institutions, and other agencies. I understand my information may be shared with AHCA. I have read the Florida DCF Notice of Privacy Practices. I certify under penalty of perjury that all persons listed are who I claim them to be and all information is accurate and complete.
I have read and agree to the Rights & Responsibilities statement.
I authorize DCF to verify all information in this application.
I acknowledge the Florida DCF Notice of Privacy Practices (HIPAA).
I authorize Sunshine ALF to serve as my authorized representative.
Digital Signature
Maria E. Rodriguez
Applicant signature · April 6, 2026 · 2:47 PM EST
Application Submitted!
Your Florida Medicaid application has been
successfully submitted to DCF.
FL-2026-0406-7842
Application Confirmation Number
What happens next
✓ Submitted to DCF
April 6, 2026 · 2:47 PM EST
DCF review begins
Within 1–3 business days
Identity & income verified
Documents submitted electronically
Eligibility decision
Within 45 days
Medicaid card issued
7–10 days after approval
Your Navigator
Sunshine ALF · Tampa, FL
Will receive all status updates automatically via MediEnroll AI.
Questions? DCF: 1-866-762-2237
Confirmation email sent to [email protected]
Processing began April 6, 2026

Navigator Dashboard

Sunshine ALF · Staff view · Tampa, FL

12
Active
8
Enrolled
4
Pending
MOST RECENT APPLICATION
MR
Maria Rodriguez
Room 14B · Admitted March 2024
⏳ Submitted
Application #FL-2026-0406-7842
ProgramFL Medicaid — Pregnant Women
SubmittedApril 6, 2026
Expected decisionMay 21, 2026
Documents3/3 ✅
Est. annual value$8,400 / year
OTHER ACTIVE CASES
James Whitfield
Room 7A · Aged/Disabled
✅ Enrolled
Dorothy Chen
Room 22C · Long-term care
✅ Enrolled
Robert Martinez
Room 3D · Children eligibility
⏳ In review
MediEnroll AI · Enrollix Health
DEMO MODE · Sunshine ALF, Tampa FL
Tap to continue · Encrypted · HIPAA compliant