*The files below are in PDF format 
[ Welcome Letter 
Table Of Contents Current Service Area ]
Member Service Guide
May 2013 Provider Directory
Member Handbook (full copy)
Member Services Section 
Included in this section:
- Member Services Department
- Member Self Services Available Online
- Changing Information
- Member ID Card
- Membership and Coverage of Newborns
- Member Out-of-Pocket Cost
- Disenrollment
Provider Information Section
Included in this section:
- Your Primary Care Provider (PCP)
- Changing Your PCP
- Nurse Advice Line
- Questions About Your Health After Hours
- Routine and Specialty Care Services
- Hospital Services
- Complex Case Management Program
- Provider Information and Payment
- New Medical Technology
Emergency & Out of Area Services Section
Included in this section:
- How to Obtain Emergency Care
- Out of State / Out of Area
Children's Services Section
Included in this section:
- What is EPSDT?
- Well Child Care and Shots
- Child and Adolescent Health Care Program Health Centers
Womens's Services Section
Included in this section:
- Women Preventive Services
- Family Planning Services
- Prenatal & Maternity Care
- Moms of Molina (M.O.M.) Program
- Maternal and Infant Health Program (MIHP) Services
- Women, Infant & Children Services Program (WIC)
Covered Services Section
Included in this section:
- Summary of Covered Services
- Non-Emergency Transportation
- Emergency Transportation
- Prescription Drugs
- Eye Care
- Mental Health
- Substance Abuse
- Durable Medical Equipment
- Hospice Services
- Health Education
- Federally Qualified Health Centers (FQHCs)
Non-Covered Services Section
Included in this section:
- Services Not Covered by Molina Healthcare
- Services Not Covered by Medicaid
Grievance and Appeal Section
Included in this section:
- Grievance Process
- Appeal Process
- Expedited Appeal (Urgent Cases)
- External Review by the Office and Financial and Insurance Regulation
- State Fair Hearing Process
Your Rights and Responsibilities Section
Included in this section:
- Member Rights and Responsibilities
- Protecting Your Privacy
- Notice of Privacy Practices
- Advance Directives
Fraud & Abuse Section
Included in this section:
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