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2009 Member Handbook - Medicaid

*The files below are in PDF format icon PDF

[ Welcome Letter div Table Of Contents div Current Service Area ]

Member Service Guide

icon PDF March 2010 Provider Directory

icon PDF Member Handbook (full copy)

icon PDF Member Services Section

Included in this section:
  • Member Services Department
  • Member Self Services Available Online
  • Changing Information
  • Membership and Coverage of Newborns
  • Member Out-of-Pocket Cost
  • Disenrollment

icon PDF Provider Information Section

Included in this section:
  • Your Primary Care Physician (PCP)
  • Changing Your PCP
  • Medical Care After Office Hours
  • Routine and Specialty Care Services
  • Hospital Services
  • Provider Information and Payment
  • New Medical Technology

icon PDF Emergency & Out of Area Services Section

Included in this section:
  • How to Obtain Emergency Care
  • Out of State / Out of Area

icon PDF Children's Services Section

Included in this section:
  • What is EPSDT?
  • Well Child Care and Shots
  • Child and Adolescent Health Care Program Health Centers

icon PDF Women's Health Section

Included in this section:
  • Women Preventive Services
  • Family Planning Services
  • Prenatal & Maternity Care
  • Moms of Molina (M.O.M.) Program
  • Maternal and Infant Health Program (MIHP) Services

icon PDF Covered Services Section

Included in this section:
  • Summary of Covered Services
  • Non-Emergency Transportation
  • Emergency Transportation
  • Prescription Drugs
  • Eye Care
  • Mental Health
  • Substance Abuse
  • Durable Medical Equipment
  • Hospice Services
  • Health Education
  • Federally Qualified Health Centers (FQHCs)

icon PDF Non-Covered Services Section

  • Services Not Covered by Molina Healthcare
  • Services Not Covered by Medicaid

icon PDF Grievance and Appeal Section

Included in this section:
  • Grievance Process
  • Appeal Process
  • Expedited Appeal (Urgent Cases)
  • External Review by the Office and Financial and Insurance Regulation
  • State Fair Hearing Process

icon PDF Your Rights and Responsibilities Section

Included in this section:
  • Member Rights and Responsibilities
  • Protecting Your Privacy
  • Notice of Privacy Practices
  • Advance Directives

icon PDF Fraud & Abuse Section

Included in this section:
  • How Can I Help Stop Health Care Fraud & Abuse?

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