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2009 Member Handbook - MIChild

*The files below are in PDF format icon PDF

icon PDF February 2010 MIChild Provider Directory

Member Service Guide

icon PDF MIChild Member Handbook (Full Copy)

icon PDF Member Services Section

Included in this section:
  • Member Services Department
  • Member Self Services Available Online
  • Changing Your Personal Information
  • Member ID Card
  • 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 Services Section

Included in this section:
  • Well Child Care and Shots
  • Child and Adolescent Health Centers and Indian Health Centers

icon PDF Special Programs and Services

Included in this section:
  • Family Planning Services
  • Moms of Molina Program

icon PDF Covered Services Section

Included in this section:
  • What is covered by Molina Healthcare
  • Doctor Office Visits
  • Urgent Care Services
  • Ambulance Services
  • Acupuncture
  • Chiropractic Care
  • Durable Medical Equipment and Supplies (DME)
  • Diagnostic Services, Treatment and Surgical Care
  • Prenatal and Post-Partum Services
  • Prosthetic and Orthotic Appliances
  • Therapy Services
  • Skilled Nursing Facility
  • Transplant Services
  • Prescription Drugs
  • Vision Care
  • Hearing Care
  • Health Education
  • Federally Qualified Health Centers

icon PDF Non-Covered Services Section

Included in this section:
  • Services Not Covered by Molina Healthcare
  • Services Not Covered by MIChild or Molina Healthcare

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

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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