1201 Woodward Ave. Suite 900
Detroit, MI 48226
The Provider & Pharmacy Directory outlines your plan's network of Primary Care Physicians, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Facilities, Pharmacies and Supplemental Provider contacts.
Find a provider or pharmacy online here.
Download a copy here: 2025
Arabic: 2025
If you would like to request a printed copy of this directory, please call Member Services or email us at Q&AMailbox@MolinaHealthCare.Com.
Provider Manual
Thank you for your participation in the delivery of quality healthcare services to Molina Dual Options Plan Members. We look forward to working with you.
This Provider Manual shall serve as a supplement as referenced thereto and incorporated therein, to the Molina of Michigan, Inc. Services Agreement. In the event of any conflict between this Manual and the Manual distributed with reference to Molina Medicaid or Molina Medicare Members, this Manual shall take precedence over matters concerning the management and care of Molina Dual Options Plan Members.
The information contained within this Manual is proprietary. The information is not to be copied in whole or in part; nor is the information to be distributed without the express written consent of Molina Health Care.
The Provider Manual is a reference tool that contains eligibility, benefits, contact information and policies/procedures for services that the Molina Dual Options Plan specifically providers and administers on behalf of Molina Healthcare.
The provider manual is reviewed, evaluated and updated as needed and at a minimum annually.
Molina Medicare-Medicaid Program (MMP) Provider Manual
Frequently Used Forms
Health Education Referral Form
Home Health Patient Drive Groupings Model (PDGM) FAQs
Molina Healthcare of Michigan Provider Contract Request Form
Authorized Representative Designation
Prior Authorizations
2025 Prior Authorization Guide - Effective 1/1/2025
Provider Appeals and Grievances
The Molina Healthcare of Michigan Appeals team coordinates clinical review for Provider Appeals. For more information, please refer to the Provider Appeals and Grievances section in the provider manual. Please click here.
Member Appeals and Grievances
As a member, if you have a problem with your medical care or our services, you have a right to file a complaint (grievance) or appeal.
A complaint (grievance) can be filed when you are unhappy with your care.Some examples are:
An appeal can be filed when you do not agree with Molina Healthcare’s decision to:
To learn more, click on one of the links below:
Molina Healthcare wants you to have access to the complaint (grievance) process. We will provide you with help through each step. You can also get a summary of information about complaints or appeals that members have filed against the health plan.
Member and Volunteer Reimbursement
Direct Member Reimbursement Form – Use this form to request a reimbursement for something you have paid out of pocket but believe should have been covered by your plan.
Billing and Claims
You should never receive a bill from a provider for a covered service.