UnitedHealthcare Community Plan Medicaid (MMA)

We want to help you to get the most from your health plan. If you have not completed a health risk assessment, please call 1-888-716-8787 to talk with a representative Monday-Friday from 8 a.m.-5 p.m..

This plan is available in the following counties:

Alachua , Baker , Bradford , Citrus , Clay , Columbia , Dixie , Duval , Flagler , Gilchrist , Hamilton , Hardee , Hernando , Highlands , Hillsborough , Lafayette , Lake , Levy , Manatee , Marion , Miami-Dade , Monroe , Nassau , Polk , Putnam , St. Johns , Sumter , Suwannee , Union , and Volusia .

This plan is available in the following counties:

• Region 3: Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union Counties
• Region 4: Baker, Clay, Duval, Flagler, Nassau, St. Johns, and Volusia Counties
• Region 6: Hardee, Highlands, Hillsborough, Manatee and Polk Counties
• Region 11: Miami-Dade and Monroe Counties

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How you qualify.

Eligible Medicaid recipients will receive a letter with enrollment information, including information on how to enroll. Eligible recipients will have 120 days to choose a managed care plan in their region. Newborns will be automatically enrolled in their mother’s plan at the time of birth. However, their mother may choose another plan for the baby after enrollment. Eligible Medicaid recipients will receive a letter with enrollment information, including information on how to enroll. Eligible recipients who must enroll will have 30 days to choose a managed care plan from the plans available in their region. Enrollees will have 90 days after enrollment to choose a different plan. Newborns will be automatically enrolled in their mother’s plan at the time of birth. However, their mother may choose another plan for the baby within 90 days of enrollment.

You have chosen to enroll in

How to Enroll

To Learn More About UnitedHealthcare Community Plan. Call Us.

24 hours a day, 7 days a week.
MMA: 1-844-446-2151
LTC: 1-844-445-7229
TTY: 711

Are you elgible for Florida Medicaid, but not a member yet?

• Text ENROLL to FLSMMC (357662). You will need the Medicaid ID number of each member and the account PIN number.
• Go online at at www.flmedicaidmanagedcare.com to create a Member Portal account or chat with our Enrollment Virtual Assistant.
• Call the Helpline to speak to a Choice Counselor toll free at 1-877-711-3662, Monday–Thursday, 8 a.m.–8 p.m., and Friday, 8 a.m.–7 p.m.. TTY/TDD users please call 1-866-467-4970.

Need to apply for Medicaid?

You can apply for Medicaid through the Florida Department of Children and Families You can also visit the SMMC website at https://www.myflfamilies.com/medicaid

UnitedHealthcare Community Plan of Florida 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, copayments, and restrictions may apply Benefits, formulary, pharmacy network, premium and/or copayments/coinsurance may change.

Find providers and coverage for this plan.

Search for doctors, hospitals and specialists.

Find medications covered by this plan.

Find a pharmacy near you.

Benefits & features

Well and sick care

Get the care you need to stay healthy, or to get better if you are injured or sick. That includes:

• Choice of Provider. Find a doctor or provider you trust in our network.
• Shots and Vaccines. Routine shots to help keep you healthy.
• Nurse Hotline. Speak with a registered nurse 24/7.
• Therapy Services. We cover physical, respiratory and other therapies.
• Lab and X-rays. Covered lab tests, x-rays and diagnostic imaging.
  

Pregnancy care

We want to help you to get the most from your health plan. If you have not completed a pregnancy health risk assessment, please call Member Services at 1-888-716-8787 (TTY 711), Monday - Friday from 8 am - 5 pm.

Nothing is more important than the health and well-being of you and your baby. That's why our plan benefits include:

• Prenatal Visits. Care for you before your baby is born.
• Healthy First Steps®. Get extra support and rewards to keep you and your baby healthy.
• Choice of Birth Center. Pick from hundreds of hospitals across Florida.
• In-Home Care. Home visits and medical support if ordered by your doctor.
• Text4baby. Text messages with helpful tips and reminders.

Care for conditions

If you have asthma, diabetes or another long-term condition, you can depend on us. Our plan makes sure you get the care and services you need. Benefits include:

• Mental Health. Counseling and other treatments.
• Care Management. Personal support from an experienced professional.
• Asthma and Allergy Care. Exams, testing and supplies are covered.
• Diabetes Support. Needles, supplies, plus classes on managing diabetes.
• Residential Care. Short stay at a care facility while you get better.

Vision and Hearing Care

Make sure your sight and hearing are at their best. Benefits include:

• Vision. Eye exams and up to two pairs of eyeglasses each year.
• Hearing. Tests, checkups and hearing aids, if needed, are provided every three years.

Home Care and Supplies

Get the medical care and equipment you need to live safely at home. For example, your care provider might recommend:

• Nurse Visits. Medical care to help you safely recover at home.
• Equipment and Supplies. In-home medical and safety equipment is covered.

Rides and Other Help

Sometimes you might need a little extra help using your health plan. For those times, you can rely on:

• Nurse Hotline SM . Speak with a registered nurse 24/7.
• Interpreters. An interpreter can go with you to your medical visits.
• Member Services. Your benefit questions are answered 24/7.
• Transportation. We cover unlimited rides to and from provider offices.
• Quitting Tobacco. Coaches and supplies to help you quit tobacco.
• Over-the-Counter Supplies. Get up to $25 back on approved over-the-counter purchases.

Asthma and COPD Support

Do you or your child have trouble managing COPD or asthma symptoms? A nurse who specializes in breathing issues can really help. You'll get a customized treatment plan and medicine to:

• Manage flare-ups.
• Reduce symptoms.
• Let you or your child stay active.

Care management

A serious health problem requires extra care and support. We use Health Homes to coordinate services for our members.

Do you or your child have a serious health problem? Our case managers are in your corner and ready to help. They will:

• Explain medical terms in plain language.
• Coordinate doctor appointments.
• Provide medical records to the care team.

Your case manager will stay with you or your child during the medical journey. He or she will:

• Think beyond immediate medical needs.
• Make sure there is support at home.

Choice of doctor

You will have a primary care physician (PCP) as your main doctor.

Your PCP is your main doctor for:

• Preventive care.
• Treatment if you are sick or injured.
• Referrals to specialists for certain conditions.

Use the Doctor Lookup tool to see if your doctor is in our network. If you don't have a doctor or if your doctor is not in our network, we can help you find a new one close to you.

Choice of birth center

Where you have your baby is an important choice. That's why you can pick from nearly 80 hospitals across Florida.

It's also a good idea to tour the hospital’s birthing center. This way you will be familiar with it. And be more relaxed when you have your baby.

Diabetic support

If you have diabetes, we'll help make life easier. You'll receive medicine, supplies and education to help you meet your healthcare goals.

Our diabetes program also includes self-care training and classes focused on:

• Planning healthy meals.
• Managing stress.
• Living a healthy lifestyle.

Equipment and supplies

Your health and safety at home are important. Our plan covers medical equipment ordered by your doctor or case manager. This can include supplies like:

• Hospital beds.
• Oxygen tanks.
• Wheelchairs or walkers.

Hearing care

Trouble hearing can affect your everyday life. Our plan includes services and support to help protect your hearing.

• Exams, therapy and tests.
• Hearing aids every three years.

Healthy behavior programs

Do you smoke? If so, do you want to try and quit? We have a smoking cessation program that is available at no cost.

Do you want to work on weight loss or healthier eating habits? These types of lifestyle changes can help with many chronic conditions. We have a program to help you with this.

If you have noticed changes in your mood, habits or the way you feel, you may need to talk to someone about these feelings.

Behavioral health services are available as part of your benefits. We also offer a reward program if you would like help with a drug abuse problem.

All of these programs are available at no cost to you. If you would like to join any of these programs, please call us at 1-877-310-0719. We are here Monday through Friday from 8 a.m. to 7 p.m local time. If you are hard of hearing, please dial 711.

Healthy First Steps®

Build a healthy future for you and your baby and earn great rewards with Healthy First Steps. Our program will help you take the right steps to keep you and your baby healthy. Plus you can earn $10 just for signing up.

We will help you:

• Choose a pregnancy provider and a pediatrician (child’s doctor).
• Schedule visits and exams and arrange rides to your visits.
• Earn rewards for going to visits throughout your pregnancy and baby’s first 15 months of life.
• Get supplies, including breast pumps for nursing moms.
• Connect with community resources such as Women, Infants and Children (WIC) services.

Home meal delivery

Taking care of the basics, like cooking, can be difficult while you’re getting better. That’s why we’ll bring healthy meals to you. You can get up to 10 meals delivered each year after being discharged by the hospital.

Hospitalization

This plan pays for all expenses related to a hospital stay, so you can rest and heal.

Our plan covers:

• Nursing care.
• Room and board.
• Supplies and equipment.
• Treatment and therapies.
• Diagnostic tests and exams.

And after you leave the hospital, you are not alone. We make sure you get follow-up care to continue healing at home.

Interpreters

It’s important that you and your provider understand each other. If needed, we can arrange for a medical interpreter to be at your appointments.

Call Member Services for help.

Lab and X-rays

Knowing what's wrong and finding it early can make all the difference. Our plan covers:

• Labs and testing.
• X-rays, scans and other imaging.

We’ll help you get the information needed to improve your health or be at your best.

Language help

You can receive information in your preferred language. Just ask. We also have people at our customer service who speak more than one language. We will have someone who speaks your language.

Medicines

Our plan includes prescription drugs and refills.

And we want to make getting your medicine easy. You can fill your prescriptions at:

• In network local pharmacies.
• Services that deliver right to your door.

Member Services

Sometimes you might need a little help understanding your health care options. With us, you have someone you can call. We’ll answer your questions simply and completely.

We can also help you find:

• Primary Care Physicians and Specialists.
• Dentists and vision providers.
• Local pharmacies.

Mental Health

Mental health is as important as physical health. That's why we have coverage for both.

Required care is 100% covered. with no copay. This includes:

• Behavioral therapy.
• Medications.

No copays

You will not have a copay for care and services covered by our plan.

Nurse hotline

Medical questions and situations happen any time. When you have questions about your health or your child’s health, you can call a nurse 24 hours a day, 7 days a week.

Our Nurse Hotline nurses will:

• Listen to the symptoms.
• Guide you on self-care.
• Advise you about getting care at a doctor visit or an urgent care center.
• Help you know when to go to the emergency room.

Nurse Visit

Sometimes you may need continued care after you leave the hospital or urgent care.

If your health is at risk after a serious illness, surgery or injury, a nurse will visit you at home to:

• Provide medical care for you or your child.
• Answer your questions and concerns.

Over-the-Counter supplies (OTC)

Your health care costs may include non-prescription medicines and supplies like aspirin, cough medicine or bandages. Our plan will cover you up to $25 each month for medically necessary OTC medicine or medical supplies you purchase.

Pregnancy Care

A pregnancy is a journey you’ll want to make with the help of friends, family and a pregnancy doctor, or OB-GYN.

All of your recommended prenatal clinical visits and tests are covered.

At these visits, the clinic will:

• Make sure you and your baby are healthy.
• Explain what to expect at each stage of your pregnancy.
• Answer your questions.

Residential Care

After a serious illness, surgery or injury, you may need extra nursing and therapy.

If needed, our plan covers short stays in a rehabilitation center where you can heal. Included are:

• Nursing home services.
• 24-hour nursing care.
• Help with activities of daily living.
• Physical, occupational and speech therapy.

Quitting Tobacco

You know the bad health effects of smoking.

You know you need to quit. We support you while you quit with the help of coaches and supplies. The only thing you won't get from us is a lecture.

Shots and Vaccines

Routine shots help protect you from illness.

So, our plan covers:

• Pneumonia, influenza and shingles shots.
• Other recommended shots and vaccines.

Telehealth

Everyday care at no cost to you! Talk to a doctor 24/7 by phone or video—day or night from wherever you are.
We can diagnose, treat, and prescribe medicine if needed for:

• Flu
• Fever
• Cough
• Headache
• Stomachache
• Rashes
• Allergies
• Upper respiratory infection
• And more

Call 1-888-716-8787 for more information.

Text4baby

Text4baby can help new and expecting mothers keep themselves and their babies healthy.

You’ll get three text messages each week throughout your pregnancy and your baby’s first year. Each text contains health and safety tips for topics like:

• Prenatal care.
• Labor and delivery.
• Breastfeeding.
• Safe sleep.
• Nutrition.
• Car seat safety.

So you and your baby can make a healthy start.

Therapy Services

Therapy can help you recover from a serious injury or illness, or simply reach your full potential. Members receive needed:

• Occupational therapy.
• Physical therapy.
• Respiratory therapy.
• Speech therapy

Members needing help obtaining pediatric services, or providers experiencing issues, can contact our plan coordinator Adrianna Genaro at 612-428-6681, or by email at adrianna.genaro@optum.com.

Transportation

Our plan provides unlimited round trips to and from health care locations. That includes rides to:

• Doctor or therapy visits.
• Health departments.
• Vision clinics.
• Urgent care centers.

Vision Care

You’ll get the care, eyeglasses and treatment that let you see life more clearly. Coverage includes:

• Regular exams.
• Up to two pairs of frames each year.
• Prescription lenses.

This benefit is offered by Vision Service Plan.

Well Visits

Well visits with your doctor can help keep you healthy. These visits can catch health problems early, so they can be treated. Preventive services include:

• Checkups for adults and children.
• Routine shots and tests.
• Mammograms.

There are no copayments for preventive care.

Member resources

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Member resources

UnitedHealthcare Community Plan Medicaid (MMA)

Are you ready for flu season?

Influenza, commonly called the flu, is a serious illness that can spread easily. It can lead to missed days at school or work, and even hospital stays. Here’s the good news: a simple shot can reduce your chances of getting influenza — and it’s available to you at no cost with your UnitedHealthcare Community Plan. Talk to your UnitedHealthcare network doctor about getting the flu shot.

If you don’t have one, please contact Member Services at 844-446-2151 and a representative can help you find one.

Healthy Behaviors Program

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Telehealth

See a doctor without leaving your house. You have access to quality healthcare by phone, video or app anytime, anywhere. Avoid the waiting room, taking time off work and the drive or bus ride. Telehealth doctors are always in; call us during a lunch break, on the weekend, or in the middle of the night.

Member benefits

Member Benefits

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Member forms & resources

Notice of Privacy Practices

We have a Notice of Privacy Practices that tells you how health information about you may be used and shared. We are required by law to let you know that the Notice is available, and how you can get a copy of it.

You can download a copy of our Notice of Privacy Practices below.

(Opens in new window) PDF 126.63KB - Last Updated: 04/21/2023

Health Plan Performance Measures

View the Agency for Health Care Administration’s website where you can view our health plan’s performance measure results and compare with those of other health plans.

Member handbook

Member Handbook

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Member newsletters

2024

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2023

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2022

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Provider directories

Provider Directories

Alachua, Bradford, Citrus, Columbia, Dixie, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Putnam, Sumter, Suwannee, and Union Counties

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Private duty nursing (PDN)

Parental Real-Time Reporting of Failure to Provide Private Duty Nursing (PDN) Services

For any failure to provide PDN services, please refer to your case manager or contact us using the information below..

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MyACCESS account access

New MyAccess Account Overview - Registration Required

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Learn more about UnitedHealthcare Community Plan Medicaid (MMA)

• Frequently asked questions
• Glossary
• Links to health information

Enrollment information

The Florida Medicaid MMA plan specialists can answer questions about this plan.

24 hours a day, 7 days a week

You have chosen to enroll in

This plan is not currently available in the ZIP code entered.

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Enrollment information

The Florida Medicaid MMA plan specialists can answer questions about this plan.

24 hours a day, 7 days a week

You have chosen to enroll in

This plan is not currently available in the ZIP code entered.

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Member information

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

Member information

Already a member? You have access to our member-only website. Print ID cards, chat with a nurse online, and more.

See what UnitedHealthcare has to offer.

Video transcript

It’s your health. It’s your choice.

Everyone deserves affordable health care, including you.

That includes children, pregnant women, and people with disabilities.

If that’s you, check out UnitedHealthcare Community Plan Medicaid.

We have the Medicaid services and extras that can make a real difference in your life. All at no cost to you.

• Find a doctor you trust in our network
• Vision and hearing coverage, including eyeglasses, contacts or hearing aids
• Therapy services, such as behavioral, physical, occupational and speech therapy
• Transportation to and from doctor appointments
• Prescription drug coverage

Sometimes, you might need a little extra help. Get extras not covered by Medicaid.

• Earn rewards for keeping you and your baby healthy
• Programs for you to create and maintain healthy habits
• Up to $25 a month in over-the counter supplies, delivered right to your home
• Receive a cell phone with minutes, data and unlimited text messaging
• 24/7 NurseLine to answer your health questions

We also offer resources to help you make the most of your plan. Including:

• Member Advocates
• Social Services Support
• Nutrition Coaching
• Health Education Tools
• Care Management

If you’re ready to join, or just want to know more call and speak to a Medicaid Choice Counselor toll free at 1-877-711-3662. TTY/TDD users please call 1-866-467-4970. You can also enroll online at flmedicaidmanagedcare.com.

Helping you live a healthier life.

We are here for you, Florida.

Remember to choose UnitedHealthcare Community Plan.

And get the plan that gets you more.

For more information about UnitedHealthcare Community Plan call us at 1-888-716-8787, TTY 711 or visit uhccp.com/floridamedicaid.

UnitedHealthcare Community Plan is available in the following counties

Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hardee, Hernando, Highlands, Hillsborough, Lafayette, Lake, Levy, Manatee, Marion, Miami-Dade, Monroe, Nassau, Polk, Putnam, St. Johns, Sumter, Suwannee, Union, and Volusia.

Please select your county.

*UnitedHealthcare Community Plan of Florida 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, copayments, and restrictions may apply. Benefits, formulary, pharmacy network, premium and/or co-payments/coinsurance may change. UnitedHealthcare does not discriminate on the basis of race, color, national origin, sex, age or disability in health programs and activities.

Last Updated: 08.21.2024 at 10:19 PM CDT

Looking for the federal government’s Medicaid website? Look here at Medicaid.gov.

UnitedHealthcare Dual Complete plans

Plans are insured through UnitedHealthcare Insurance Company or one of its affiliated companies, a Medicare Advantage organization with a Medicare contract and a contract with the State Medicaid Program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is available to anyone who has both Medical Assistance from the State and Medicare. Benefits, features and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year.

Premium disclaimer

Dual Special Needs plans have a $0 premium for members with Extra Help (Low Income Subsidy).

Benefit disclaimer

Benefits, features, and/or devices vary by plan/area. Limitations, exclusions and/or network restrictions may apply.

Nurse Hotline disclaimer

This service should not be used for emergency or urgent care needs. In an emergency, call 911 or go to the nearest emergency room. The information provided through this service is for informational purposes only. The nurses cannot diagnose problems or recommend treatment and are not a substitute for your provider's care. Your health information is kept confidential in accordance with the law. The service is not an insurance program and may be discontinued at any time. Nurse Hotline not for use in emergencies, for informational purposes only.

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan)

UnitedHealthcare Connected® for MyCare Ohio (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Ohio Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® (Medicare-Medicaid plan)

UnitedHealthcare Connected® (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and Texas Medicaid to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan)

UnitedHealthcare Connected® for One Care (Medicare-Medicaid plan) is a health plan that contracts with both Medicare and MassHealth (Medicaid) to provide benefits of both programs to enrollees.

UnitedHealthcare Connected® general benefit disclaimer

This is not a complete list. The benefit information is a brief summary, not a complete description of benefits. For more information contact the plan or read the member handbook. Limitations, copays and restrictions may apply. For more information, call UnitedHealthcare Connected® Member Services or read the UnitedHealthcare Connected® member handbook.

UnitedHealthcare Senior Care Options (HMO SNP) plan

UnitedHealthcare Senior Care Options (SCO) is a Coordinated Care plan with a Medicare contract and a contract with the Commonwealth of Massachusetts Medicaid program. Enrollment in the plan depends on the plan’s contract renewal with Medicare. This plan is a voluntary program that is available to anyone 65 and older who qualifies for MassHealth Standard and Original Medicare and does not have any other comprehensive health Insurance, except Medicare. If you have MassHealth Standard, but you do not qualify for Original Medicare, you may still be eligible to enroll in our MassHealth Senior Care Option plan and receive all of your MassHealth benefits through our Senior Care Options (SCO) program.

Star ratings disclaimer

Every year, Medicare evaluates plans based on a 5-Star rating system. The 5-Star rating applies to plan year 2024.

Important provider information

The choice is yours

We will provide you with information to help you make informed choices, such as physicians' and health care professionals' credentials. This information, however, is not an endorsement of a particular physician or health care professional's suitability for your needs.

The providers available through this application may not necessarily reflect the full extent of UnitedHealthcare's network of contracted providers. There may be providers or certain specialties that are not included in this application that are part of our network. If you don't find the provider you are searching for, you may contact the provider directly to verify participation status with UnitedHealthcare's network, or contact Customer Care at the toll-free number shown on your UnitedHealthcare ID card. We also recommend that, prior to seeing any physician, including any specialists, you call the physician's office to verify their participation status and availability.

Some network providers may have been added or removed from our network after this directory was updated. We do not guarantee that each provider is still accepting new members.

Out-of-network/non-contracted providers are under no obligation to treat UnitedHealthcare plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost- sharing that applies to out-of-network services.

American Disabilities Act notice

In accordance with the requirements of the federal Americans with Disabilities Act of 1990 and Section 504 of the Rehabilitation Act of 1973 ("ADA"), UnitedHealthcare Insurance Company provides full and equal access to covered services and does not discriminate against qualified individuals with disabilities on the basis of disability in its services, programs, or activities.

Referrals

Network providers help you and your covered family members get the care needed. Access to specialists may be coordinated by your primary care physician.

Paper directory requests

Paper copies of the network provider directory are available at no cost to members by calling the customer service number on the back of your ID card. Non-members may download and print search results from the online directory.

Inaccurate information

To report incorrect information, email provider_directory_invalid_issues@uhc.com. This email box is for members to report potential inaccuracies for demographic (address, phone, etc.) information in the online or paper directories. Reporting issues via this mail box will result in an outreach to the provider’s office to verify all directory demographic data, which can take approximately 30 days. Individuals can also report potential inaccuracies via phone. UnitedHealthcare Members should call the number on the back of their ID card, and non-UnitedHealthcare members can call 1-888-638-6613 / TTY 711, or use your preferred relay service.

Declaration of disaster or emergency

If you’re affected by a disaster or emergency declaration by the President or a governor, or an announcement of a public health emergency by the Secretary of Health and Human Services, there is certain additional support available to you.

• Part A, Part B, and supplemental Part C plan benefits are to be provided at specified non-contracted facilities (note that Part A and Part B benefits must be obtained at Medicare certified facilities);
• Where applicable, requirements for gatekeeper referrals are waived in full;
• Plan-approved out-of-network cost-sharing to network cost-sharing amounts are temporarily reduced; and
• The 30-day notification requirement to members is waived, as long as all the changes (such as reduction of cost-sharing and waiving authorization) benefit the member.

If CMS hasn’t provided an end date for the disaster or emergency, plans will resume normal operation 30 days after the initial declaration.