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.
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
Become a Molina Provider
Would you like to become a Medicare-Medicaid Plan (MMP) provider with Molina Dual Options? Call us at (855) 322-4077.
By Fax: (888) 295-7665
Contracted providers are an essential part of delivering quality care to our members. Molina Healthcare of California values our provider partnerships and supports the doctor-patient relationship our members share with you.
As our partner, superior customer service and provider relations are one of our highest priorities. We welcome your feedback and look forward to assisting all your efforts to provide quality care.
Resources for Providers
The Molina Healthcare Provider Manual includes valuable information about our policies and procedures, and describes how we will work together as you care for your patients.
Looking for the prior authorization guide, the corrected claims form or another form? View and download our Frequently Used Forms.
Provider Self-Services Portal
Molina’s Provider Self-Services Portal has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.
Medicare Compliance Program
The Molina Compliance Hotline:
Ph: (866) 606-3889
To report an issue online visit: https://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
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
Reminder: Molina is GOING GREEN as of July 1st and all claims need to be submitted through an EDI Clearinghouse or via Molina's Provider Portal. Please contact our Provider Services team if you have any questions.
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.