PPrecaptureState market intelligence

FL MEDICAID MARKET

Florida

transition

Molina assumes statewide CMS Plan operations October 1, 2026

Last verified: unavailable · latest monitoring run 2026-10-06

AWARD

Double verified

Florida sets eight-month continuity protection for October 1 CMS Plan transition to Molina

Florida AHCA confirms that Molina Healthcare of Florida will assume statewide Children's Medical Services Plan operations from Sunshine Health on October 1, 2026. In a September 25 provider alert, AHCA said Molina's continuity-of-care period may extend through May 31, 2027: services authorized by Sunshine and documented courses of treatment in effect on October 1 remain covered until the authorization, treatment course or continuity period ends, or a new care plan and services are authorized, whichever occurs first. Members may continue seeing current providers during that period, and Molina must reimburse non-participating providers at their prior rate unless an alternative rate is agreed.

Precapture analysis

The eight-month protection materially lowers immediate disruption risk but creates a measurable transition test for Molina across authorization migration, out-of-network reimbursement, care-plan conversion, provider support and complaint resolution for medically complex children.