Thank you for choosing Molina Healthcare. Please read this book to understand your benefits. Please call us at 1-800-580-2811 if you have questions or need help understanding this book.
2011 Salud Member Handbook
- What can Member Services do for you?
- Translation and TTY Services
- If You Move
- New Medical Equipment and Treatments
- Handicapped Access
- Filing a Claim
- Coordination of Benefits
- Member Rights (Patient Bill of Rights) and Member Responsibilities
- Your Rights about Your Medical Care (Advance Directive)
- How to Pick Your PCP
- How to Change Your PCP
- Choosing a Specialist as a PCP
- If Your PCP leaves the Network
- How to Get Information about Providers
- Some of the services that Salud! covers
- Some of the services that Salud! doesn’t cover, but are covered by Fee-for-Service (FFS) Medicaid
- Services you can get without a referral from your PCP
- Family Planning Services
- Summary of Most Common Services and Co-Payments
- Standard Covered Services
- How to Get a Second Opinion
- How to Get Hospice Care
- Behavioral Health Services
- How to Get Dental Care
- How to Get Vision Care
- Medicaid Birthing Options Program
- Transportation
- What are ITM’s Hours of Operation?
- What is ITM’s Phone Number?
- How do I Get Routine Transportation?
- Services Requiring Prior Authorization (Approval)
- Service Limitations
- Services Not Covered (Exclusions)
- Emergency Care
- What to do if you have an emergency?
- Getting Emergency Care While Traveling
- Urgent Care
- How to Get Services After Hours
- Molina Healthcare’s 24-Hour Nurse Advice Line
- Pharmacy Services
- Individuals with Special Health Care Needs (ISHCN)
- What is Utilization Management (UM)?
- What are Prior Authorizations (approvals) and Specialist Referrals?
- How to Get PCP, Specialist or Hospital Services
- What is Care Coordination?
- Health Improvement Services
- Renewing Your Coverage
- Losing Your Coverage
- On-Line Services
- Your Privacy and Protected Health Information (PHI)
- How Complaints and Appeals Work
- How to File a Complaint, Appeal or Expedited Appeal
- Anti-Fraud Program, what is Fraud, Waste and Abuse?