09/29/2026
Florida Medicaid Health Care Alert
CMS Plan Transition from Sunshine to Molina
REMINDER: Effective October 1, 2026, the operation of the Children’s Medical Services (CMS) Plan will move from Sunshine State Health Plan, Inc. to Molina Healthcare of Florida, Inc.
The Agency previously announced (Medicaid Health Alert) that effective October 1, 2026, the operation of the Children’s Medical Services (CMS) Plan will move from Sunshine State Health Plan, Inc. (Sunshine) to Molina Healthcare of Florida, Inc. (Molina).
To ensure no disruption in current services and to support continuity of care (CoC), Molina will have a CoC period of up to 240 days (8 months). The CoC period covers services authorized by Sunshine Health and documented courses of treatment that are in effect and being delivered as of 10/1/2026 until the authorization, course of treatment, or CoC period ends, or until a new care plan is finalized and new services are authorized, whichever occurs first.
Regardless of contracting status, enrollees may continue seeing their current providers until May 31, 2027, or until their new care plan is finalized and ongoing services are authorized, whichever occurs first. Molina is required to reimburse non-participating providers at the rate they received for services rendered to enrollees prior to the transition for up to eight months, unless there is an agreement to an alternative rate.
For member questions regarding this transition, contact Molina Member Services at 1-800-262-0750. For provider questions regarding this transition, contact Molina Provider Services at 1-855-322-4076.
