*The files below are in PDF format 
[ Welcome Letter 
Table of Contents Current Service Area ]
May 2013 MIChild Provider Directory
Member Service Guide
MIChild Member Handbook (Full Copy)
Member Services Section
Included in this section:
- Member Services Department
- Member Self Services Available Online
- Changing Your Personal Information
- Membership ID Card
- Member Out-of-Pocket Cost
- Disenrollment
Provider Information Section
Included in this section:
- Your Primary Care Provider (PCP)
- Changing Your PCP
- Nurse Advice Line (NAL)
- 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 Services Section
Included in this section:
- What is EPSDT?
- Well Child Care and Shots
- Child and Adolescent Health Centers and Tribal Health Centers
Special Programs and Services
Included in this section:
- Female Preventive Services
- Family Planning Services
- Prenatal & Maternity Care
- Moms of Molina (M.O.M.) Program
Covered Services Section
Included in this section:
- What is covered by Molina
- Doctor Office Visits
- Urgent Care Services
- Ambulance Services
- Acupuncture
- Chiropractic Care
- Durable Medical Equipment (DME) and Supplies
- Diagnostic Services, Treatment and Surgical Care
- Federally Qualified Health Centers (FQHCs)
- Hearing Care
- Health Education
- Oral Surgery
- Prenatal and Post-Partum Services
- Prescription Drugs
- Prosthetic and Orthotics
- Skilled Nursing Facility
- Therapy Services
- Transplant Services
- Vision Care
Non-Covered Services Section
Included in this section:
- Services Not Covered by Molina Healthcare
- Services Not Covered by MIChild or Molina Healthcare
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
Your Rights and Responsibilities Section
Included in this section:
- Member Rights and Responsibilities
- About Our Members: Protecting Your Privacy
- Notice of Privacy Practices
- Advance Directives
Fraud & Abuse Section
Included in this section:
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