Molina Healthcare contracts with primary care providers (PCPs), specialists and pediatricians all over Ohio. These are called our network providers. We want your child to have as few changes as possible when he or she joins Molina Healthcare. If your child’s doctor is not in our network, we will help him or her find other high-quality providers that can meet his or her needs.
View our Provider Directory to see if your child’s pediatrician and other health care providers are part of our provider network.
If your child's PCP’s office is closed or he or she cannot be seen right away, your child may go to an urgent care center or CVS MinuteClinic. Visit our Provider Directory to find an urgent care center in your area.
If you are is not sure where your child should go for care, you can call our 24-hour Nurse Advice Line for help. Learn more.
If your child has an emergency, you should call 911 or go to the nearest emergency room. Emergency care is provided when a medical problem is so serious that it must be treated right away. Your child can go to any emergency room without a referral or prior authorization for emergency treatment.
Molina Healthcare’s care management program provides a family-centered way of connecting members to the quality care and services your child needs. We work together with the member, our medical directors and the member’s providers for a smooth coordination of all the services your child needs.
Our Care Management team includes nurses, social workers, pharmacy technicians and dieticians. As a member, your child’s Care Manager who will stay in contact with you and help your child with his or her health and well-being. Learn more.
A Care Manager is a member’s Molina Healthcare point-of-contact. He or she will help members in coordinating care. The Care Manager will:
Learn more about care management.
As a managed care plan, we cover all medically necessary health care benefits and services that are covered by Ohio Medicaid Fee-for-Service (FFS). This includes your child's:
We also help to remove barriers to getting your child's services and consider his or her needs as we work toward healthier outcomes. View “What’s Covered” to learn more about benefits and services.
Yes. We cover:
Yes, members get an extra transportation benefit with Molina Healthcare. Members get 30 one-way trips (15 round-trips) every calendar year at no cost to them. This benefit will get members to and from places where they get covered health care services. This includes:
In addition to your 30 trips, our plan covers unlimited rides for members who get these services:
Additionally, transportation is always available if a member must travel 30 miles or more from his or her home to get covered health care services. These rides are unlimited for services that are medically needed, but only if there is not a provider closer to the member's home. Click here to learn more.
Yes. As a member of Molina Healthcare, your child has no co-pays or out-of-pocket costs for prescription medications. A member should never pay for his or her prescriptions. Go to the Prescription Drugs page to learn more. Our Pharmacy Department can help your child get the prescription medications he or she needs. For some medications, members will need to get prior authorization. Learn more.
To find out what drugs are covered under the member plan, view the Molina Healthcare Preferred Drug List (Formulary) for the plan in “What’s Covered”.