Molina can help you get behavioral health services you and your family need. You must use a provider that is part of Molina Healthcare (Molina) unless it is an emergency. You can call Molina at (800) 223-7242 (TTY: 711). Your benefits cover:
Inpatient services
Outpatient services
Doctor visits
You might need to find a doctor that is in the plan. If so, call Molina. You need to see providers that are part of Molina unless it is an emergency. You do not need a referral to see a doctor; you can pick or change your behavioral health care provider or case manager at any time. If you want to change, call Molina at (800) 223-7242 (TTY: 711). Your case manager can also help you. Molina’s hours are Monday through Friday, 8:00a.m.-6:00p.m., EST. Emergency coverage is available 24 hours per day, seven days per week.
Member Handbook
It tells you what you need to know about your Molina Healthcare of New York Medicaid Managed Care (MMC) Health Plan. Read here.
How do members get care?
Call Molina at (800) 223-7242 (TTY: 711).
Additional Behavioral Health Services for Adults and Children
Molina Healthcare Member Services: (800) 223-7242 (TTY: 711)
Effective 2/1/22 - Four Adult Behavioral Health Home and Community Based Services (BH HCBS) will be changing to Community Oriented Recovery and Empowerment (CORE) Services. Molina Healthcare of NY, Inc. will cover CORE Services. You can use your Molina Healthcare of NY, Inc. plan card to get these CORE Services. See links below for additional information:
Crisis and Hotlines
National Suicide Prevention Lifeline: 800-273-8255
Veterans Crisis Line: 800-273-8255 (Press 1)
Trevor Lifeline (for LGBTQ community): 866-488-7386
NY State Parent Helpline: 800-244-5373
CHAMP: Ombudsman Program, ombuds@oasas.ny.gov
Hotline: 888-614-5400
Molina Nurse Advice Line: (English and Spanish): (800) 223-7242, TTY: 711
NYS Child Abuse and Maltreatment Hotline: https://ocfs.ny.gov/main/cps/
Toll Free Telephone Number: 800-342-3720
TDD/TTY: 800-638-5163
Video Relay System: 800-342-3720
Member Resources
Keeping You Healthy
We want you to make good health care choices for you and your family.
Behavioral Health Appointment Standards
Use the following list as the appointment standards for our limits on how long you may have to wait after your request for a behavioral health appointment:
• Initial appointment with an outpatient facility or clinic: 10 business days
• Initial appointment with a behavioral health care professional who is not employed by or contracted with an outpatient facility or clinic: 10 business days
• Follow-up visit after mental health/substance abuse emergency room (ER) or inpatient visit: 5 business days
• Non-urgent mental health or substance abuse visit: 5 business days
If you are unable to schedule a behavioral health appointment within the appointment wait times listed above, you, or your designee, may submit an access complaint to Molina Healthcare of New York (MNY) by telephone, 877-751-7857 (TTY:711) and in writing to 2900 Exterior St., Ste. 202, Bronx, NY 10463 to resolve this issue.
If we are unable to locate a plan participating provider that can treat your behavioral health condition, you can receive a referral to a qualified out-of-network provider who can.
Behavioral Health Access Complaint
If you are unable to schedule a behavioral health appointment and if you submit a behavioral health access complaint, MNY must provide you with the name and contact information of a provider that can treat your behavioral health condition. MNY must provide this information within three (3) business days after receiving your complaint.
Behavioral Health Access Support contact information
Telephone: (315) 526-1150
Email: mhny.caremanagement@molinahealthcare.com