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Why the Children’s Medical Services (CMS) Health Plan (Medicaid)?

Each child has unique needs. We value members like your child. 

CMS Health Plan is a plan for children with serious, chronic conditions.

Children's Medical Services Health Plan, operated by Sunshine Health on behalf of the Florida Department of Health, understands your child's unique needs. The CMS Health Plan is specially designed to bring extra benefits to children and their families. CMS Health Plan care managers help families understand and get the most from their child's benefits.

Who is eligible?

The Medicaid CMS Health Plan is for children who:

  • Are under age 21 and eligible for Medicaid or
  • Have special healthcare needs that require extensive preventive and ongoing care

There are two versions of the CMS Health Plan. How do I know which version my child would be enrolled in?

  • If you do not pay a monthly premium for your child's health insurance, your child is enrolled in the Medicaid CMS Health Plan
  • If you pay a monthly premium for your child's health insurance, your child is enrolled in the KidCare CMS Health Plan

 

Children's Medical Services Health Plan has benefits to help your child and your family:

Quality Healthcare

Your child can count on our care, which is accredited from the National Committee for Quality Assurance. 

Dollar Rewards

Complete healthy behaviors to earn dollars in the My Healthy Pays® Program.

24-Hour Nurse Advice Line

Our Nurse Advice Line is ready for questions on your child’s health.

Transportation Services

We can provide rides to your child’s medical appointments at no cost. Call for help to schedule rides. 

Mail-Order Prescriptions

Your child’s medicines can be delivered to your home.

Telehealth

Connect to a provider virtually with Telehealth. Your child can get easy access to a provider when he or she needs to see one. 

THE BENEFITS YOUR CHILD NEEDS

Take care of your child with full coverage, programs and services.

BENEFITS (MEDICAID)

FIND A DOCTOR

CMS Health Plan is proud to partner with doctors in your area. See the list of network providers.

SEARCH NOW

To learn more, please call CMS Health Plan toll-free at 1-866-799-5321 (TTY 1-800-955-8770), Monday through Friday 8 a.m. to 8 p.m. You can also visit SunshineHealth.com/CMS.

The CMS Health Plan is a Managed Care Plan with a Florida Medicaid contract. The benefit information provided is a brief summary, not a complete description of benefits. For more information, contact Sunshine Health. Limitations and/or restrictions may apply. Benefits, formulary, pharmacy network and/or premium may change.

Children’s Medical Services Health Plan complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.

This information is available for free in other languages and formats. Contact Member Services at 1-866-799-5321 (TTY 1-800-955-8770) Monday-Friday, 8 a.m. to 8 p.m.

Esta información está disponible en otros idiomas y formatos. Contáctese con Servicios al Afiliado llamando al 1-866-799-5321 (TTY 1-800-955-8770), de lunes a viernes de 8 a.m. a 8 p.m.

Enfòmasyon sa yo disponib nan lòt lang ak fòma. Kontakte Sèvis Manm yo nan 1-866-799-5321 (TTY 1-800-955-8770) sòti lendi rive vandredi, de 8è nan maten jiska 8è nan aswè.

Thông tin này được cung cấp miễn phí bằng những ngôn ngữ và định dạng khác. Hãy liên hệ Dịch vụ Thành viên theo số 1-866-799-5321 (TTY 1-800-955-8770) từ Thứ Hai-Thứ Sáu, 8 giờ sáng đến 8 giờ tối.