Florida Medicaid — Special Health Care Needs Florida Medicaid MMA

Children’s Medical Services Health Plan

The Children’s Medical Services (CMS) Health Plan is a Florida Medicaid option designed for children with special health care needs. Families often hear “CMS” on the member card alongside a plan operator name. Coverage for ABA and related therapies still depends on medical necessity, plan rules, and authorization—not a website promise.

Important: We accept / work with families using CMS Health Plan. Benefits and authorizations vary—call to verify. This page is not a benefits quote.

Call (786) 360-2655 Contact intake

FYI for families: CMS Health Plan operator change (Oct 1, 2026)

Public information from Florida’s Agency for Health Care Administration (AHCA) states that Molina Healthcare is scheduled to operate the CMS Health Plan starting October 1, 2026 (with Sunshine previously operating the plan). Members are expected to receive transition communications. This is not a guarantee about our network status with any operator. Always verify the plan name on your child’s current card and call us—or your plan—to confirm benefits and authorizations for your family.

What families should know

Plan focused on children with special health care needs
Still a Florida Medicaid managed pathway—auth and documents matter
Check the name on your child’s current member card
Ask us to verify benefits before assuming network or hour limits

What to bring to intake

Current CMS Health Plan member ID card
Any letters about plan changes or continuity of care
Diagnostic evaluations and IEP/school documents if available
List of current providers and open authorizations
Questions about clinic, home, or school-based settings

What happens at intake

1
We identify the plan printed on your card and what that means for intake today.
2
We review diagnoses, prior therapy, and what paperwork is still missing.
3
We explain typical authorization steps without promising approval timelines.
4
If you have heard about a CMS plan operator change, we help you confirm what applies to your child’s card.

Frequently asked questions

What is the CMS Health Plan?

Children’s Medical Services (CMS) Health Plan is a Florida Medicaid plan option for many children with special health care needs. Exact benefits and care coordination features depend on enrollment and plan rules—check your member materials and call us to verify ABA-related coverage.

I heard Molina will run CMS in 2026. Does that change anything today?

AHCA has published that Molina is scheduled to operate the CMS Health Plan beginning October 1, 2026. Until then, follow the operator and card you have now. After transition notices arrive, re-verify benefits and authorizations. We do not invent network contract details—call (786) 360-2655 to review your child’s situation.

Is CMS the same as Sunshine or Molina Medicaid?

Not exactly. CMS Health Plan is a distinct Florida Medicaid product for many children with special health care needs. Sunshine and Molina also operate other Medicaid MMA products. Always go by the plan name on the member card.

Ready to verify CMS Health Plan?

Miami Lakes · info@behavioralforkids.com · Authorization may be required

(786) 360-2655