Your Florida Member Programs and Rewards
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Molina Healthcare 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 the Managed Care Plan. Limitations and/or restrictions may apply. Benefits may change. Molina Healthcare complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability, or sex. For SMMC Medicaid (Service Area Region I Counties: Miami-Dade, Monroe) language assistance services call (866) 472-4585 (TTY: 711) Monday–Friday, 8:00 a.m. - 7:00 p.m. For CMS Plan language assistance services call (800) 262-0750 (TTY: 711) Monday–Friday, 8:00 a.m. - 7:00 p.m. local time. For SMMC Medicaid and CMS Plan enrollment, call Choice Counseling at (877) 711-3662 / TDD: (866) 467-4970 Monday – Thursday, 8:00 a.m. – 8:00 p.m., Friday 8:00 a.m. – 7:00 p.m.
ATTENTION: If you speak English, language assistance services, free of charge, are available to you. For SMMC Medicaid call (866) 472-4585 (TTY: 711). For CMS Plan call (800) 262-0750 (TTY: 711). ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Para SMMC Medicaid llame al (866) 472-4585 (TTY: 711). Para CMS Plan llame al (800) 262-0750 (TTY: 711). ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Pou SMMC Medicaid rele (866) 472-4585 (TTY: 711). Pou CMS Plan rele (800) 262-0750 (TTY: 711). CHÚ Ý: Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Đối với SMMC Medicaid gọi (866) 472-4585 (TTY: 711). Đối với CMS Plan gọi (800) 262-0750 (TTY: 711).
Specialty plans
You can read your Member Handbook to learn more. The handbook gives details and a full list of mental health benefits. You can also call SMMC Medicaid Member Services at (866) 472-4585 or CMS Plan Member Services at (800) 262-0750 (TTY: 711) if you have questions on the Molina Specialty Plan.
Annual notice
Please click here to learn how Molina complies with laws that cover mental health services.
Disease management programs
Get help with your illness. We offer these programs:
Pyx health
Sometimes life is hard. It can be tough to stay well and take care of yourself. That is why we work with Pyx Health. This program is free for all members who feel alone or need support.
Pyx Health helps you get the right help when you need it. You can talk with someone who listens. You can also get help with food, a ride, or rent. Pyx Health can also help you learn how to use your benefits.
Pyx Health links you to:
To get started,
More info can be found by clicking here.
Comprehensive Support for Your Child’s Care
CMS Plan offers care management services to support children and families with complex or ongoing healthcare needs. When your child enrolls, you are paired with a dedicated CMS Plan Care Manager — your primary point of contact for coordinating care, understanding benefits, and connecting to the right services.
Your CMS Plan Care Manager partners with you, your child’s providers, community resources, and schools to make sure your child receives the services they need when they need them. If your child’s health, home life, or provider situation changes, your CMS Plan Care Manager helps update the care plan to keep support aligned with your family’s goals.
What Care Managers Do
CMS Plan Care Managers receive specialized training to support members with medical, behavioral, developmental, and social needs. Their role includes:
Care Coordination Support from Plan Trained Staff
CMS Plan Care Managers are trained to understand the unique challenges members face. They offer the highest quality of service and compassion.
Members and families also get support through your team of CMS Plan specialists including Family Support Specialists, Educations Liaisons, Transition Coaches, Care Coordinators, and Health Educators.
Support for Youth Transitioning to Adulthood
CMS Plan offers dedicated transition support for youth preparing to move into adult care. Our staff help members and families plan with:
This service includes coaching, education, and guidance to ensure youth feel confident and supported as they gain independence.
Transitioning From Facilities to Home or Community
For children moving from a hospital, skilled nursing facility, or group home, transition specialists are here to help. They work closely with families and providers to evaluate options and create a safe, appropriate plan for returning home or moving into a community setting.
Need a Different Care Manager?
You can request a change at any time by contacting SMMC Medicaid Member Services at (866) 472-4585 or CMS Plan Member Service at (800) 262-0750 (TTY: 711). We will let you know if we need to get you a new Care Manager for any reason.
When to Contact Your Care Manager
You can reach out anytime one of the following occurs:
Your Care Manager is here to help—no issue is too small.
Pausing Services
If your child needs to pause a service, your Care Manager is here to help. They show you each step and help you fill out any forms you need.
Private Duty Nursing (PDN) Support
If your child receives Private Duty Nursing, your Care Manager:
In the event a shift is missed, it is important for you to notify CMS Plan right away. Your Care Manager will:
This helps us make sure your child remains safe and supported at home.
Disease management programs
We have disease management programs for children with long term health needs. These needs may include asthma, diabetes, sickle cell, digestive disorders, behavior needs, cancer, or substance use.
Programs give:
Earn rewards for healthy activities
Families may earn rewards through our Healthy Rewards Program.
You may earn rewards for:
Rewards can be used for basic items that support good health.
Is it time to get help for your mental health condition?
Do you know which signs and symptoms mean you need extra help? Here is a list of common clues:
This list does not cover everything. Your doctor can help you decide if you need extra help. Please call SMMC Medicaid Member Services at (866) 472-4584 or CMS Plan Member Services at (800) 262-0750 (TTY: 711) if you have any questions.
My doctor’s office is closed but I need help.
Sometimes, you may need help when your doctor is not there. Do you know who to call?
Here is a list of places that can help you any time, day or night.
Children’s health tips
We know it is hard when your child doesn’t feel well. We are here to help you.
Make the most of your membership.