Welcome, Molina Dual Options MI Health Link Providers
Molina Health Plan of Michigan maintains a website as a means to inform, educate, and engage our providers regarding the health plan’s procedures and general operations. Such information includes pre-authorization processes, formularies, periodic fax blasts and our quarterly newsletters.
Need a Prior Authorization?
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
Join Our Network
At Molina Healthcare, we consider ourselves a part of our member’s extended family. To our extended family, we are committed to providing high quality health care by having a robust network of physicians, hospitals, healthcare facilities, and other healthcare providers.To join our network
Begin the process of joining our network of quality providers by completing a Contract Request Form. We will evaluate your submission and provide you with a response within 5-7 business days for next steps.
Please Note: To be a contracted provider with Molina Healthcare of Michigan, you must have your NPI registered with CHAMPS. (Link to CHAMPS).
For more information about Molina Healthcare and to review our Provider Manual, please visit: https://www.molinahealthcare.com/providers/mi/duals/manual/Pages/provd.aspx.
For the current Medicaid fee schedule please visit: https://www.michigan.gov/mdhhs/0,5885,7-339-71551_2945_42542_42543_42546_42551-159815--,00.html
Medicare Compliance Program
Molina Compliance Hotline: (866) 606-3889 or Molinahealthcare.AlertLine.com
Reporting Compliance and Fraud, Waste, or Abuse
Molina Medicare Compliance Program
Code of Business Conduct and Ethics
Medicare Compliance Issues Policy
Document Retention and Destruction Policy
Medicare Fraud, Waste, and Abuse Plan
FDR Compliance Auditing Policy Molina Medicare Compliance Program
Code of Business Conduct and Ethics
Medicare Compliance Training
First Tier Entity Compliance Attestation Information
ICE FTE Attestation Login Instructions
FTE Compliance Attestation Form
ICE Off shore Attestation
First Tier Entity FAQs
Molina Compliance Program
Reporting Compliance and FWA
What’s newClaims Dispute Request Form
New Medicaid Dental Benefits for Pregnant Women
Molina Healthcare of Michigan Vendor Transitions - Effective July 1, 2018
Physician Office Laboratory Tests
Primary Care Management of Depression
Behavioral Health Provider Toolkit
Behavioral Health Toolkit for Primary Care Providers
Provider Change Form
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.
Please notify Molina Healthcare at least 30 days in advance when you have any of the following:
- Change in office location,
office hours, phone, fax, or email
- Addition or closure of office location
- Addition or termination of a
- Change in Tax ID and/or NPI
- Open or close your practice to new
patients (PCPs only)
Find the Provider Change form at:
Nitro or Adobe are required to utilize the Provider Change Form and/or the Provider Addition Roster
Mail: 880 West Long Lake Road Suite 600 Troy MI, 48098
Long Term Support ServicesKey Contacts for Long Term Supports Services (LTSS)
Molina Healthcare Provider Meeting & Training for Long Term Support Services (LTSS)
The MI Health Link Waiver Program provides long term support and services to members living in a home or community based setting. For more information and frequently asked questions (FAQ) please click here.