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?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

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

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.​​​

Important Reminder:

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
       provider
  • Change in Tax ID and/or NPI
  • Open or close your practice to new
       patients (PCPs only)

Find the Provider Change form at:

Click here

Under the forms tab.

Nitro or Adobe are required to utilize the Provider Change Form and/or the Provider Addition Roster

Fax: 248-925-1757

Email: MHMContractConfigDept
@MolinaHealthCare.Com

Mail: 880 West Long Lake Road Suite 600 Troy MI, 48098

Long Term Support Services

Key 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.