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MCC-Molina Healthcare of Florida integration

We are excited to tell you that as of September 1, 2021, Magellan Complete Care of Florida (MCC of FL) will become Molina Healthcare of Florida (Molina).  Molina Healthcare is a Managed Care organization delivering quality health care to Floridians since 2008.

New name, same great care, same great doctors, same great benefits.  It is likely that your providers are already part of Molina’s network. If this is the case, you are all set. You do not need to do anything to keep your services, benefits, and doctors. In the event your provider is not already part of the Molina network, you can keep seeing them without disruption until October 31, 2021. Your care is important to Molina. We can help you in choosing one of our great network providers to provide your health care needs. You can check the Molina network at ProviderSearch.MolinaHealthcare.com.

With Molina you will get more, including:

  • Transportation services: As of September 1, Access2Care will be the primary non-urgent transportation vendor for members. Access2Care is a national ground transportation company serving customers since 1998. To make your trips easier, they have an agreement with Lyft for covered trips.

If you have services scheduled with Veyo prior to September 1, 2021, do not cancel your scheduled transportation. Access2Care will work with Veyo to provide services. For any new or scheduled appointments on or after September 1, please call Access2Care at the number on the back of your Molina ID card.

 

  • Member Self-Service: Access to member self-service tools on the Molina Member Portal, com.
  • Mobile App: Access us anytime to view, download and share your ID with your doctors. You can also update contact info, and more.  Download the Molina Mobile app by using the below QR code:
  • Doula services: As of October 1, Molina Healthcare will be adding Doula Services as part of your benefits. Doula benefits will need prior approval.

 

Molina will mail you a new Molina ID card and other member materials. MCC of FL and Molina are here to help with any questions you may have about this change. If you have any questions about this notice or the upcoming changes, please call MCC of FL Member Services at 1-800-327-8613 (TTY 711), Monday through Friday 8 a.m. to 7 p.m. Eastern time.

Until September 1, you will continue to get health benefits as you do now from MCC of FL. As open enrollment approaches, you may have questions about other Medicaid plans. You can go to www.flmedicaidmanagedcare.com or call the choice counselor toll-free helpline at 1-877-771-3662 to discuss your options.

Magellan Complete Care and Molina Healthcare of Florida integration FAQs

Magellan Complete Care and Molina Healthcare of Florida integration FAQs

 

Q: What is happening with Molina and Magellan?

A:   Molina Healthcare has acquired Magellan Complete Care of FL (MCC of FL).


Q:  Is the Magellan name changing?

A:   Yes, Magellan Complete Care of Florida’s (MCC of FL) name will be changing to Molina Healthcare of Florida. All MCC of FL members will now fall under Molina Healthcare of Florida’s Specialty Plan as of 09/01/2021.


Q:  Are any benefits changing?

A:   Effective 10/01/2021, Doula benefits will be available and require a prior authorization. There are no other benefit changes. To learn more about your benefits and in lieu of services, please click here to view your Member Handbook.


Q:  Can I keep my same doctors/hospitals? Is the network changing?

A:   It is likely that your providers are already part of Molina’s network. If this is the case, you are all set. You do not need to do anything to keep your services, benefits, and doctors. In the event your provider is not already part of the Molina network, you can keep seeing them without disruption until 10/31/2021. Your care is important to Molina. We can help you in choosing one of our great network providers to provide your health care needs. You can check the Molina network at ProviderSearch.MolinaHealthcare.com.


Q:  How can I access my member portal?

A:   As of 09/01/2021, members will be able to access the MyMolina member portal by clicking here. Molina Members also have access to the Molina Mobile app. Members can scan the QR Code below to download the app today.


Q:  Will I get a new Care Manager or Coordinator?

A:   No, continue to work with your current Care Manager. We value our relationship with you and are committed to continuing to provide the same level of service and care we are known for.


Q:  Does anything change in the services you provide for me?

A:   Our focus remains on providing you and our members the quality service you and they have come to expect from us. As of 09/01/2021, Access2Care will be the primary non-urgent transportation vendor for members. Access2Care is a national ground transportation company serving customers since 1998.  To make your trips easier, they have an agreement with Lyft for covered trips.

If you have services scheduled with Veyo prior to 09/01/2021, do not cancel your scheduled transportation. Access2Care will work with Veyo to provide services. For any new or scheduled appointments on or after 09/01/2021, please call Access2Care at the number on the back of your Molina ID card.

To learn more about your Molina Healthcare services, visit the Services page on our website.


Q:  Is the member handbook changing? Do I need to get a new one? Can I get a copy of Molina’s Member Handbook?

A:   Yes. The Molina Member Handbook has been updated to reflect the new Specialty Plan benefits and information.  Click Here to download a copy of the Member Handbook or call our Member Services at (866) 472- 4585 (TTY: 711) Monday – Friday from 8am to 7pm ET to request a copy to be mailed to you.


Q:  Is my ID card still valid? Will I get a new one?

A:   Please continue to use the MCC ID card you have now. Your current member ID card is still valid for services to 08/31/2021. Molina will send you a new Molina ID Card prior to 09/01/2021.


Q: Will I still be able to participate in the Healthy Behaviors Programs previously offered by Magellan?

A:   Yes, Healthy Behaviors Programs from Magellan will be integrated with Molina.  Molina’s Healthy Behavior Programs such as Smoking Cessation, Substance Abuse, Weight Loss, Pregnancy Rewards, and Preventive Health will be available to you starting 09/01/2021.


Q:  When will the changes begin?

A:   Most of the changes will be effective 09/01/2021, except the Doula benefit change effective 10/01/2021.


Q:   Where can I find more information on how the integration impacts me?

A:   A letter was sent to all members as of 07/01/2021. If you didn’t receive a letter, you can find more details in your new Member Handbook, or the Molina Welcome Packet that has been sent to you.


Q: Will my transportation vendor stay the same?

A:   As of 09/01/2021, Access2Care will be the new non-emergent medical transportation vendor for you. To make your trips easier, they have an agreement with Lyft for covered trips.  If you have questions regarding Access2Care or need help setting up a ride, you can call them at (888) 298-4781 (TTY 711) after 08/17/2021.


Q: Will my vision vendor stay the same.                                              

A:    No, members will begin to use iCare for vision services.  In the event your provider is not already part of the Molina network, you can keep seeing them without disruption until 10/31/2021.  After 10/31/2021, you will need to change to a Molina network provider.


Q: Will I still use the Magellan Rx for my pharmacy needs?

A:   As of 09/01/2021, members will use CVS/Caremark as the Pharmacy Benefit Manager (PBM) and Specialty Pharmacy provider.  Your new Molina ID card, with your new member information, will need to be given to your pharmacy for prescriptions filled on or after 09/01/2021.


Q: Can I continue to use my same pharmacy?

A:   As long as your pharmacy is still in network with Molina, you can continue to fill your prescriptions at your preferred pharmacy.  In the event your pharmacy is not already part of the Molina network, you can keep seeing them without disruption until 10/31/2021.  After 10/31/2021, you will need to change to a Molina network pharmacy.

      To check if your current pharmacy is in network with Molina, you can visit the Provider Search feature on our website at any time.


Q: Will my current medications need to go through the prior authorization process again?

A:   No, Molina will honor any current medication authorizations that are in place, including those that required step therapy, quantity limits, age limits, or full prior authorization requirements.


Q: Can I continue to use my same medications?

A:   Yes, Molina will continue to cover any medications you are currently taking, without disruption until 10/31/2021. Any new prescriptions obtained will need to follow the Medicaid Preferred Drug List (PDL) and guidelines.


Q: What is the Over-the-Counter (OTC) benefit and have the pharmacy locations for OTC products changed?

 A: The OTC benefit offers you an easy way to get generic over-the-counter health and wellness products and you can do this by visiting any of the same previous OTC Health Solutions-enabled CVS Pharmacy®, CVS Pharmacy y mas®, or Navarro® store. You can also order by phone at (888) 628-2770 (TTY: 711) or online at cvs.com/otchs/molina. OTC Health Solutions will mail your order to the home address you’ve provided.  You will need to register with your new Molina ID after you receive your ID Card.

You order from a list of approved OTC items. The catalog is available online here or you can call Member Services to request a copy be mailed to you.


Q: What is my monthly OTC benefit?

A:   You have $25 per month per household limit.


Q: How often can I use my OTC benefit?

A:   Your benefit can be used only once per month. You must submit the full order or lose the remaining balance.


Q: Can I carry over unused OTC benefit amount to the next benefit period?

A:   Unused OTC benefit amounts do not roll over to the next month.