(PCP) . Submit and check the status of your claims. This page provides information for healthcare providers who provide services to Medicaid beneficiaries or would like to enroll as a Medicaid provider. Information on Safe Sleep for your baby, how to protect your baby's life. You may change providers within the network at any time during the year. Information on adoption programs, adoption resources, locating birth parents and obtaining information from adoption records. Unable to take your feedback now, Please try again later. . Apply to Case Manager, Community Connector - Mi (remote), Family Nurse Practitioner and more! If you dont already have an online account, youll be prompted to register before this process can proceed. To find a dentist near you, visit, many dental providers for you to choose from, including teledentists. up to four times a year for members 0 to 6 years of age. (: ) (: ) ( ) Molina Dual Options . Works collaboratively with functional business unit stakeholders to lead and/or support various provider services functions with an emphasis on developing and implementing standards and best practices sharing across the organization. Reliable transportation required. Trending videos Doctors and patients discuss the latest medical treatments and health tips Drugs A-Z Search prescription drugs for why they're used, side effects and . We also offer a sliding fee scale for anyone who is uninsured. Health Care Coverage information and resources. We also hold regular classes to help those living with chronic conditions such as diabetes or hypertension, as well as general fitness and cooking classes. Crowns and associated procedures are covered for all beneficiaries once every 5 years per tooth. Birth, Death, Marriage and Divorce Records. You can also contact your Care Coordinator for help with standing requests. We use cookies on our website. * Prior Authorization (PA) may be required for some procedures. Use Zocdoc to find doctors in Detroit who take Molina Healthcare insurance. This is called a standing request. . Adult Behavioral Health & Developmental Disability Services. . Join Our Team. The Michigan Department of Health and Human Services' (MDHHS) Division of Environmental Health (DEH) uses the best available science to reduce, eliminate, or prevent harm from environmental, chemical, and physical hazards. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsement be inferred by HRSA, HHS or the U.S. Government. You use your Molina Healthcare Plan ID card to access dental services. Assistance may include: scheduling appointments with providers; arranging transportation for healthcare visits; getting prescriptions filled; and following up with members on missed appointments. Molina Dual Options . A. You can update your member information. (855) 735-5604 : 711 8 a.m. 8 p.m. . Here are some of the features that are available in Essentials for Molina Healthcare providers: Eligibility & Benefits Patient Search Attachments Claim Status Smart Claims Claims Correction Payer Space View Updates to your dental benefits (PDF) and the Notice of Privacy Practices and Member Rights and Responsibilities (PDF). Talk to your Care Coordinator for assistance. Available 24/7, the Provider Portal gives you an easy way to make short work of a number of tasks, including: Check Member Eligibility. Complete and partial dentures are covered once every 5 years per arch. Prior Auth . . A healthy mouth is essential for a healthy body! State and Federal Privacy laws prohibit unauthorized access to Member's private information. Sign in to create your job alert for Network Manager jobs in Grand Rapids, MI. If you have been going to one network provider, you do not have to keep going to that same provider. Complete and partial dentures are covered once every 5 years per arch. Our integrated approach to care means that we understand that many of the challenges we face in life can have a negative impact on health. last updated: 03/02/2023. Add or terminate a provider. Delta Dental Patient Direct dentists. Provide information to members related to Molina requirements , services and benefits . Referrals increase your chances of interviewing at Molina Healthcare by 2x. Molina Healthcare And, you can see a list of your current medications. In conjunction with the Director, Provider Network Management & Operations, negotiates high priority physician group and facility contracts using Preferred, Acceptable, Discouraged, Unacceptable (PADU) guidelines. Molina Dual Options works with all the providers in our network to accommodate the needs of people with disabilities. This button displays the currently selected search type. . Working familiarity with various managed healthcare provider compensation methodologies, including but not limited to: fee-for service, capitation and various forms of risk, ASO, etc. WWFHC partners with community organizations that can provide assistance and guidance on a variety of issues, including: This entity receives HRSA Health Center Program grant funding under 42 U.S.C. We also display pharmacies that you may use to get your prescription drugs. 50-80% local travel may be required. Blue Cross Complete is here to help you at the pharmacy. Western Wayne Family Health Centers are your one-stop health and wellness care providers! Learn how to report them on the Fraud, Waste and Abuse page. These providers signed a contract with us to provide you services. This button displays the currently selected search type. Sign in to create your job alert for Community Specialist jobs in Troy, MI. The Blue Cross Complete mobile app keeps you up-to-date on your health care information. Use this link if you are a member of this program. Please update to a modern browser such as Chrome, Firefox or Edge to experience all features Michigan.gov has to offer. Cookies are used to improve the use of our website and analytic purposes. Use this link to find a dentist who participates in our closed-panel Delta Dental EPOTM program. Oncologists care for patients with cancer. Q. Information is collected to monitor the general health and well-being of Michigan citizens. View your HEDIS scores. We have many dental providers for you to choose from, including teledentists. The web Browser you are currently using is unsupported, and some features of this site may not work as intended. We provide members with the care they need, when they need it. We also offer a sliding fee scale for anyone who is uninsured. Behavioral Healthincluding therapy and psychiatry. services and prescription drug benefits in accordance with Medicare requirements. Low-income Households Water Assistance Program (LIHWAP). Your job seeking activity is only visible to you. Beaumont Health is committed to hiring and investing in some of the brightest and most talented people in the world. Home infusion pharmacies that prepare prescription drugs given through a vein, within a muscle, or in another non-oral way by a trained provider in your home. This site may, from time to time, contain links to other internet websites for the convenience of users in locating information and services that may be of interest. This includes: Well visit checkups with Primary Care Provider (PCP) every year Sick visits (PCP or urgent care) Women's health visits (i.e., OB/GYN) Behavioral health visits 24 visits without prior approval Mom's Meals * Routine eye exams and eyeglasses Llame al 1-855-735-5604 (TTY: 711), de lunes a viernes, de 8:00 a. m. a 8:00 p. m., EST. . Medicaid Michigan Medicaid. Molina Marketplace of Michigan Affordable health coverage for all ages and stages Let's find the right coverage for you. / / . These plans make it easy to receive Delta Dental coverage and protect your health. . To get this document in a language other than English, please contact the State at (800) 642-3195, TTY: 711, Monday Friday, 8 a.m. to 7 p.m., EST to update your record with the preferred language. The call is free. Get health reminders on services you need. We help Medicaid members get the health care they need in 32 Michigan counties across the state. . . Third Party Data Privacy Information (PDF). Not Registered? Dermatology 1 Provider 111 Michigan Ave NW , Washington DC, 20010 Make an Appointment Show Phone Number Kaiser Permanente Panorama City Medical Center is a medical group practice located in Washington, DC that specializes in Dermatology. Do you have a great dentist who is not in our network? To get this document in an alternate format, please contact Member Services at (855) 735-5604, TTY: 711, Monday Friday, 8 a.m. to 8 p.m., EST. We appreciate your feedback about our website. If, at any time, youd like to revoke consent to providing your health data to a third party app, you may do so from within your online account. Promotes communication, both internally and externally to enhance effectiveness of case management services. Make a Payment (Marketplace Exchange Members Only) Change your doctor. If you would like to request a printed copy of this directory, please call Member Services or email us at [email protected]. Visit the Career Advice Hub to see tips on interviewing and resume writing. Processes member and provider correspondence. Educates internal customers on provider contracts. Please arrive at least 15 minutes before your scheduled time to complete the registration process. Mail-order pharmacies that send covered prescription drugs to members through the mail or shipping companies. Please call the Molina Medicaid Dental Member Services at (844) 583-6157, Monday - Friday, 8 a.m. - 8 p.m. EST, to learn more about the dental . Treatments include: Deep teeth cleanings, such as periodontal scaling and root planing. . (855) 735-5604 8:30 a.m. 5 p.m. . Receiving the right health care is about: Having regular checkups to stay healthy. Connects members to CCEs, the OhioRISE Plan,or Molina Care Management if the members needs indicate a higher level of coordination. COVID-19 Public Health Emergency (PHE) 2023 Benefit Changes Blue Cross Complete of Michigan is a managed care health plan contracted by the state of Michigan. You should complete your Health Risk Assessment (HRA) within 120 days of enrollment and annually. Get notified about new Processor jobs in Troy, MI. Our dental care team offers affordable, general family dentistry for all ages, including: We accept most dental insurance plans, including all state Medicaid/Healthy Michigan plans. SAP Master Data Governance Manager - Aerospace & Defense, Danaher Business Systems Leader (DBSL) - Remote (Eastern or Central US), Microsoft Dynamics 365 Functional Implementation Consultant, Professional Practice - Senior Manager, Technology Risk & Financial Audit IT, Senior SAP PP Solutions Architect / Business Analyst, Technical Pre-Sales IT Infrastructure Consultant, Salesforce Technical Architect - Manager -Consulting - Location OPEN, Specialist I, Operational Excellence- Information Technology, See who Molina Healthcare has hired for this role, Remote and must live in the Grand Rapids, MI area***. We will refer to these groups as network providers in this Directory. If you cannot afford child care, payment assistance is available. Molina continues to provide health coverage for mothers for 12 months after the baby's birth. Troy, MI, Join to apply for the Case Management Processor role at Molina Healthcare. Unable to take your feedback now, Please try again later. Familiarity with healthcare systems a plus. . Molina Healthcare Grand Rapids, MI Just now Be among the first 25 applicants See who Molina Healthcare has hired for this role Join or sign in to find your next job Join to apply for the. Please select one of the states in which Molina Healthcare provides services. In a program audit report issued on February 2, 2022, CMS auditors Information on communicable & chronic diseases. Information on DHS Applications and Forms grouped by category. Molina Healthcare By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Find a Molina Healthcare Provider Near You Today You can find our providers in hospitals and clinics near you by clicking here . Through our national network of Delta Dental companies, we offer dental coverage in all 50 states, Puerto Rico and other U.S. territories. Get notified about new Network Manager jobs in Grand Rapids, MI. Get access to your provider portal. long-term supports and services (LTSS) . . Take care of business on your schedule. The Provider & Pharmacy Directory outlines your plan's network of Primary Care Physicians, Specialists, Hospitals, Skilled Nursing Facilities, Outpatient Facilities, Pharmacies and Supplemental Provider contacts. Periodontal treatments are covered for all members. 2021 . You can also find doctors and hospitals. . 254b and has been deemed a Public Health Service employee for purposes of certain liability protections, including Federal Tort Claims Act coverage, under 42 U.S.C. Dental checkups can even detect health issues before they become serious. Assures completion of a health risk assessment, assisting members to remediate immediate and acute gaps in care and access. Click the link in the email we sent to to verify your email address and activate your job alert. Seeking help when you are sick. You must use network pharmacies except in emergency or urgent care situations. . If you would like to request a printed copy of this directory, please call, Please enter all the mandatory fields for the form to be submitted, For questions or comments about your coverage, or for more information, please, Molina Healthcare Medical Insurance Marketplace, Maternal and Infant Health Program (MIHP), Medicaid and Healthy Michigan Plan Dental Reference, H7844_23_001_MMPMIWebsite_2023 Accepted It provides links to CHAMPS, billing and reimbursement resources, training, policy documents, and much more. Troy, MI, Join to apply for the Community Connector role at Molina Healthcare. " " . . Certain waived policies that were in place during the PHE are now in the process of unwinding and will continue the unwind process as the authority for these policies expire. We will keep track of your standing request, so you do not need to make separate requests each time we send you information. . Unable to take your feedback now, Please try again later. Providers can access the most current Provider Manual at MolinaHealthcare.com. This change means a wider network of dentists, a wider selection of covered benefits, and a wider smile! Your behavioral health clinician (if you have one), Your long-term services and supports (LTSS) providers (if you have them), Nurses, specialists, social workers, and other people who can provide expert advice. Molinas dental benefits includes cleanings, fillings, restorative, and preventive services. This website is for Molina Healthcare providers to learn about how to get started with Essentials and begin utilizing the latest time-saving tools. Some Molina Dual Options providers in our network may no longer be accepting new members. Theyll contact the on-call provider for you, who will call you back as soon as possible. Please select one of the states in which Molina Healthcare provides services. Detroit, See who Molina Healthcare has hired for this role, UTEC - Universal Tool Equipment + Controls. Guides members to maintain Medicaid eligibility and with other financial resources as appropriate. Request an ID card. . LifeSmile is an oral wellness program that helps you focus on your oral health and well-being with education and tips for improving and maintaining good dental health habits. Information about audits conducted by the Office of Audit. information about the Department's public safety programs. . You can find our providers in hospitals and clinics near you by clicking here. Cookies are used to improve the use of our website and analytic purposes. . A representative from the facility where you receive care. Use this link if your child is a member of the HKD program. We love helping kids establish lifelong healthy habits! Being able to visit a provider you trust with all your health care needs Find a Molina Healthcare Provider Near You Today You can find our providers in hospitals and clinics near you. (855) 735-5604 : 711 8 a.m. 8 p.m. . All your health and wellness care in one place! Coordinates required services in accordance with member benefit plan. Must have valid drivers license with good driving record and be able to drive within applicable state or locality with reliable transportation. This Online Directory displays health care professionals (such as doctors, nurse practitioners, and psychologists), facilities (such as hospitals or clinics), and support providers (such as Adult Day Health and Home Health providers) that you may see as a Molina Dual Options member based on your search results. Youll begin with a primary care visit so that your doctor or nurse practitioner can refer you to the behavioral health services that best meet your needs. Being able to visit a provider you can trust with all your health care needs. Referrals from your network PCP are not needed for: Kidney dialysis services that you get at a Medicare-certified dialysis facility when you are outside the plans service area; or. Information on the grant awarded for the State Innovation Model Proposal, Offers resources for agencies who operate the Weatherization Assistance Program in the state of Michigan. . who has been recommended by someone you trust. Sign in to create your job alert for Processor jobs in Troy, MI. How often should I see my primary care provider (PCP)? . . Change office location, hours, phone, fax, or email. For additional information contact Member Services at (855) 735-5604, TTY:711, Monday Friday, 8 a.m. to 8 p.m., EST. Make sure you receive important information from MDHHS. Additionally, if you are eligible to get services from Indian health providers, you may see these providers without a referral. Ohio Provider Directory Contracted Enrollment Request Practitioner, Definition of Enrollment, Credentialing, and Contracting, Meridian Celebrates 25 Years of Serving Michigan, Meridian of Michigan Appoints Patricia Graham as CEO, REGION 2 - Antrim, Benzie, Charlevoix, Emmet, Grand Traverse, Kalkaska, Leelanau, Manistee, Missaukee, Wexford (PDF), REGION 3 - Alcona, Alpena, Cheboygan, Crawford, Iosco, Montmorency, Ogemaw, Oscoda, Otsego, Presque Isle, Roscommon (PDF), REGION 4 - Allegan, Barry, Ionia, Kent, Lake, Mason, Mecosta, Montcalm, Muskegon, Newaygo, Oceana, Osceola, Ottawa (PDF), REGION 5 - Arenac, Bay, Clare, Gladwin, Gratiot, Isabella, Midland, Saginaw (PDF), REGION 6 - Genesee, Huron, Lapeer, Sanilac, Shiawassee, St. Clair, Tuscola (PDF), REGION 7 - Clinton, Eaton, Ingham - English and Spanish (PDF), REGION 8 - Berrien, Branch, Calhoun, Cass, Kalamazoo, St. Joseph, Van Buren (PDF), REGION 9 - Hillsdale, Jackson, Lenawee, Livingston, Monroe, Washtenaw (PDF). Molina Healthcare Orthopedists care for patients with certain bone, joint, or muscle conditions. When expanded it provides a list of search options that will switch the search inputs to match the current selection. Dental. Production Team Partner - Stockroom Processor - UniFirst, Customer Service Representative (Part-Time), Clinical Social Worker Case Management Days FT, TSA Customer Service Representative Part-time, Registered Nurse - Utilization Management Case Management, Emergency Department, National Tax Office & Transactional Specialist - Entry Level (2024), Production Team Partner - Stockroom Processor - UniFirst ($500 Sign On), Clinical Social Worker Case Management Rotating Shift Contingent, Volunteer: Flint Clerical Office Volunteers, Food Services Associate-PT/Rotating- Trinity Health Hospital Oakland, See who Molina Healthcare has hired for this role. Employment Type: Contract Compensation: $75.00/hr About DocGo: DocGo is transforming healthcare with peerless innovation and on-the-ground care . Talk to your health care provider about telehealth: Telehealth access allows faster support and reduces exposure rate to COVID-19 though live video-conferencing. Sign in to save Community Connector at Molina Healthcare. Facilitates strategic planning and documentation of network management standards and processes. For some providers, you may need a referral from your PCP. There you may approve or cancel third party app selection. Register Now, Not Registered? If you are having trouble finding a provider who will accept new members, call Member Services at (855) 735-5604, TTY: 711, Monday - Friday, 8 a.m. to 8 p.m., EST, and we will help you. Services from a womens health specialist. Conducts research with available data to locate members Molina Healthcare has been unable to contact (e.g., reviewing internal databases, contacting member providers or caregivers, or travel to last known address or community resource locations such as homeless shelters, etc.). Need to find out if your dentist is in network? Click the link in the email we sent to to verify your email address and activate your job alert. : Molina Dual Options . By creating this job alert, you agree to the LinkedIn User Agreement and Privacy Policy. Universal caseload, or task-based processing, is a different way of handling public assistance cases. Health Care Professionals Click Here. 233(g)-(n). We must pay the Indian health provider for those services even if they are out of our plans network. You can often get an appointment on the same day, or even walk in on a first-come, first-served basis. Keep your teeth and gums healthy by seeing a dentist regularly! Information about the Michigan law that requires certain information be made available to a woman who is seeking an abortion at least 24 hours prior to the abortion procedure. Complete this form to refer your dentist. Dental checkups can even detect health issues before they become serious. 2023 Molina Healthcare, Inc. All rights reserved. Please call the Molina Medicaid Dental Member Services at (844) 583-6157, Monday Friday, 8 a.m. 8 p.m. EST, to learn more about the dental benefits Molina provides to you. You can also get this document for free in other formats, such as large print, braille or audio. MHO Care Guide serves as a single point of contact for care coordination when there is no CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified MHO Care Guide Plus serves as a single point of contact at Molina for care coordination when there is CCE, OhioRISE Plan, and/or CME involvement and short term care coordination needs are identified. Information on the Children's Foster Care program and becoming a Foster Parent. Get notified about new Community Specialist jobs in Troy, MI. You can trust our doctors and nurse practitioners to provide exceptional care, including: We practice integrated care which means that your behavioral health treatment starts with a primary care visit. Everyone on the Care Team works together to make sure your care is coordinated. If you do plan to walk in, its best to show up early and prepare to wait until a provider is available. (855) 735-5604 : 711 8 a.m. 8 p.m. .