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CMS Health Plan Transition

Starting October 1, 2026, Molina Healthcare will operate the Children’s Medical Services (CMS) Health Plan.

It is important for you to know that your provider contract with Sunshine Health will not transfer to Molina. You must contract directly with Molina to continue serving CMS Health Plan members after the Continuity of Care period. 

Providers are encouraged to monitor updates and prepare for outreach from Molina Healthcare. Healthcare providers should not cancel appointments with current patients. Additional information will be shared as it becomes available. 

Frequently Asked Questions 

What’s changing?

  • Starting October 1, 2026, Molina Healthcare will operate CMS Health Plan. 
  • Providers must contract with Molina Healthcare to continue serving CMS Health Plan members after the Continuity of Care period. 

What’s staying the same?

  • Membership will transfer from Sunshine Health to Molina Healthcare. 
  • CMS Plan will continue under the same name.
  • Existing prior authorizations will be provided to and honored by Molina through the Continuity of Care period. 

What can I expect before the transition?

  • Molina Healthcare is building its network. Providers interested in joining can initiate the process on Molina’s website.
  • More information will be shared as transition details are finalized. 

Questions? 

Talk to your Sunshine Health provider engagement account manager or contact Provider Services at 1-844-477-8313