Insurance & Patient Info

Eligibility

Children’s Medical Services (CMS) Health Plan, operated by Sunshine Health, provides managed care services. Sunshine Health is a licensed Florida health plan.

The CMS Health Plan is for children who:

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

The need for preventive and ongoing care could mean working with several different providers at once. It might also mean working with state agencies or finding local community resources. We’re here to help. Our goal is to coordinate healthcare that improves the lives of our members and families.

Note: There are two versions of the CMS Health Plan. The benefits and services offered are different.

• Members who qualified for CMS Health Plan through Florida Medicaid are enrolled in the Title 19 plan. If you do not pay a monthly premium for your child’s health insurance, then your child is enrolled in this plan and the information on this page applies.
• Members who qualified for CMS Health Plan through Florida KidCare are enrolled in the Title 21 plan. If you pay a monthly premium for your child’s health insurance, then your child is enrolled in this plan and not all the information on this page applies.