Last updated: September 16, 2026
Florida's CMS Plan moves from Sunshine Health to Molina on October 1, and every CMS Plan chart in your EMR needs a new insurance record. For clinics on TheraPlan, the chart side of the Molina CMS Plan transition is TheraPlan's job.
Here's what TheraPlan is doing, how one clinic's October 1 looks with and without that help, and how the support continues after the switch. Our CMS Plan transition guide covers the rest.
1. What TheraPlan is doing for the CMS Plan switch
TheraPlan is handling the update for every clinic on the platform, at no extra cost.
One standard plan name. Clinics have entered CMS Sunshine under several names, so TheraPlan is settling on one the update can find.
CMS Molina on every CMS Plan chart. On October 1, a script adds CMS Molina to each child's chart, effective that day, and puts it on every open therapy case in place of CMS Sunshine. The Sunshine history stays on the chart.
Authorizations carried over. Molina says it will honor existing authorizations during continuity of care, which lasts up to eight months, and an active Sunshine authorization keeps its number. The script copies each active authorization to CMS Molina with the same details.
Eligibility as a cross-check. For clinics using TheraPlan's built-in eligibility checks, the eligibility tab separates CMS Plan kids from other Sunshine members and shows who's eligible on October 1.
2. One clinic, two ways through October 1
Picture a speech and OT practice with 60 kids on the CMS Plan, many seen in both disciplines. One office manager handles the front desk and authorization requests.
By hand, October 1 means opening all 60 charts. End-date Sunshine, add Molina, reattach each open case, and rebuild every active authorization, all while families call to ask if they can keep their therapist.
Miss one chart and that child's October visits bill to the wrong plan. If nobody catches it for a week, that's a week of claims to rework.
With TheraPlan, the script handles the charts, and that first week goes to authorization requests and family calls. October visits land on charts already carrying CMS Molina.
Same clinic, two ways through October 1
A speech and OT practice with 60 kids on the CMS Plan
The script handles the charts
- October 1
Charts updated by script. CMS Molina goes on each child's chart and open cases, and active authorizations copy over.
- First week
Authorizations and families. The first week goes to authorization requests and family calls.
- First month
Charts already on CMS Molina. October visits land on charts already carrying the new plan.
The same chart work, done by hand
- October 1
60 charts, one at a time. End-date Sunshine, add Molina, reattach each open case, rebuild each authorization.
- First week
Chart edits and family calls. Families call to ask if they can keep their therapist, all while the edits go on.
- First month
A week of claims to rework. Miss one chart and that child's October visits bill to the wrong plan.
3. How TheraPlan supports clinics through changes like this
Support is free for TheraPlan clinics, and that includes the Molina update. If you're one of them and the switch is slowing your staff down, call support and let the team help.
TheraPlan wants its clinics to keep billing and getting paid through changes like this one. Its clients are concentrated in Florida, so a Florida plan changing hands is core work for the team.
TheraPlan and EEP track payer and coding changes so owners who treat kids all day don't have to. Molina is one of those changes, and two more are already on the calendar.
4. The next changes already on the calendar
The FY2027 ICD-10-CM code set applies to encounters starting October 1, the same day Molina takes over. On January 1, 2027, CPT 92507 is replaced by ten timed speech-language treatment codes, and ASHA notes that state Medicaid programs may adopt them on their own timelines. TheraPlan is tracking both.
On the calendar
- October 1, 2026CMS Plan moves to Molina, and the FY2027 ICD-10-CM code set takes effect
- January 1, 2027CPT 92507 replaced by ten timed speech-language treatment codes
Where TheraPlan and EEP fit
TheraPlan pairs a pediatric therapy EMR for PT, OT, speech, and ABA with EEP, an in-house billing team that knows Florida Medicaid and Early Steps inside and out. Eligibility runs at intake, authorizations are tracked by specialty, and the note becomes the claim EEP submits. So when a plan changes hands, the people updating your charts also know the billing behind them.
Learn more about TheraPlanFrequently asked questions
What is TheraPlan doing for the Molina CMS Plan transition?
TheraPlan is updating CMS Plan charts for every clinic on its platform. The October 1 update puts CMS Molina on each child's chart and open therapy cases and carries active Sunshine authorizations over intact.
Will Molina honor authorizations approved by Sunshine?
Yes, during continuity of care. Molina says existing authorizations will be honored for up to eight months after the switch, and Sunshine authorization numbers stay the same while active.
Is TheraPlan support free during the Molina switch?
Yes. Clinics on TheraPlan get free support, including the October 1 Molina update. TheraPlan and EEP also track the other changes on the calendar, like the FY2027 ICD-10-CM update and the January 2027 replacement for CPT 92507.
This article reflects TheraPlan's reading of publicly available guidance, and TheraPlan's own transition plan, as of September 16, 2026. It is not legal, billing, or clinical advice. Codes, coverage, rates, and payer requirements change and vary by state, plan, and contract. Verify current requirements with the payer and the relevant agency before you act, and consult a qualified professional for your specific situation.
