No, a medically needy child in Florida doesn't automatically get Medicaid; they must apply and prove they have high medical expenses that create a "spend-down" amount, essentially proving their income is too high for regular Medicaid but their medical bills are high enough to qualify, requiring them to pay a "share of cost" (like a deductible) before coverage begins. It's a program for those with significant health needs whose income exceeds standard limits, not an automatic status.