You can find answers to your questions below! Also, check out our glossary to look up any words that may be confusing. Don’t see your question? Just give us a call!
Transparency in Coverage
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Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us.
Claims Forms
Participating Provider Claim Dispute Form
Provider Network Forms
Provid...
Submitting Claims
As a participating provider with Molina Healthcare, you have established a contractual agreement to provide physical, behavioral and/or other long-term support services to our membe...
Complete your 2025, health screening(s) before December 31, 2025, to receive your gift card. Complete the form(s) below after receiving your services. Follow the instructions on the form(s) to send th...
HIPAA Standards for Electronic Healthcare Transactions
HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered ...
As a Molina Healthcare member, if you have a problem with your medical care or our services, you have a right to file a complaint (grievance) or appeal. Some examp...
Page Content
The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) have been implemented. With the launch of the new EDI and FI, there ar...
HIPAA Standards for Electronic Healthcare Transactions
HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered ...
Molina Healthcare of Michigan may delegate Credentialing, UM, and Claim activities to provider groups that meet delegation requirements. Prior to delegation, Molina Healthcare conducts on-site delega...
