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: http://www.molinahealthcare.com/providers/mi/medicaid/manual/Pages/provmanual.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
CAHPS Survey Season
The Consumer Assessment of Healthcare Providers and Systems (CAHPS) is a survey used to evaluate patient satisfaction. The CAHPS Survey is a vital tool in understanding the patient's perspective on their healthcare experience. Please encourage your patients to complete the survey, so we can all better understand the needs of Molina members.
For a copy of the CAHPS Provider Brochure, please click click here.
To view the CAHPS Provider Communication, please click here.
For a copy of the CAHPS Provider Tip sheet please click here.
Michigan Medicaid Benefits Re-determination (Renewal Process)
The Redetermination process is used for annual reviews to renew your Michigan Medicaid patients’ benefits. The Michigan Department of Health and Human Services (MDHHS) must re-determine an individual’s eligibility for active programs every 12 months.
How can you help your Medicaid patients?
You can help by reminding your Medicaid patients to call MDHHS to ensure their income verification is complete and educate them on the redetermination process. For an extensive list of Redetermination frequently asked questions, please click here.
Molina Healthcare of Michigan Fraud, Waste and Abuse Compliance Notification
Molina Healthcare of Michigan is focused on ensuring that fraud, waste and abuse does not occur. If you believe fraud, waste and abuse has taken place, you can report it without giving your name. You can contact Molina anonymously by:
We are here for you!
Do you have questions about enrollment? Would you like to schedule an appointment with your Provider Service Representative?
Let us know how we can help! Please contact us at (855) 322-4077 or click on our link here.