Doctor and patient viewing xray

We're Glad

you're part of
the Molina Family

“I love working with Molina, their claim department is responsive and efficient”

Dr. Marina Jones

 
Alert!
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.

Welcome, Michigan Healthcare 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 newsletters.

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.

If you have any questions, please call Provider Services at (855) 322-4077.

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 Services Portal

Check Member Eligibility & Benefits button

Login or Register

Molina’s Provider Self Services 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

Provider Data Validation

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:
http://www.molinahealthcare.com/providers/mi/medicaid/forms/Pages/fuf.aspx
Under the forms tab.

Fax: 248-925-1757
Email: MHMContractConfigDept@MolinaHealthCare.Com
Mail: 880 West Long Lake Road Suite 600 Troy MI, 48098​​

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.​​​

Care for Diverse Populations

To learn more about Care for Diverse Populations click here.