Need a Prior Authorization?
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
Thank you for your interest in joining Molina Healthcare of Michigan's provider network. Currently, we provide coverage to Medicaid, Medicare (DSNP and Medicare Advantage Prescription Drug plan), MI Health Link (MMP) and Marketplace members in the State of Michigan. Contracted providers are an essential part of delivering quality care to our members, and we value our partnerships with our providers.
To begin the process of joining our provider network, please click here.
Note: To be a contracted provider with Molina Healthcare of Michigan, you must have your NPI registered with MDHHS CHAMPS. For more information on CHAMPS please click here.
For more information about Molina Healthcare and to review our Provider Manual, please visit: https://www.molinahealthcare.com/providers/mi/medicaid/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
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.
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:
Molina Healthcare of Michigan Attention: Compliance Director 880 West Long Lake Road Troy, MI 48098-4504 Phone: 1-866-606-3889 Fax: 1-248-925-1797 Email:MHMCompliance@MolinaHealthCare.com Online:www.MolinaHealthCare.AlertLine.com |
OR |
Michigan Department of Health and Human Services Office of Inspector General P.O. Box 30062 Lansing, MI 48909 Phone: 1-855-MI-FRAUD (1-855-643-7283) Online:www.michigan.gov/fraud |
We are here for you!
Do you have questions about enrollment? Would you like to schedule an appointment with your Provider Relations Manager?
Let us know how we can help! Please contact us at (855) 322-4077 or email us at MHMProviderServicesMailbox@MolinaHealthCare.Com..
Automated Critical Updates! We know you’re busy. So, sign up to receive the latest news delivered to your inbox. Click to get started:
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)
To make updates, please click here to visit our new "Join Our Network" tools for health care providers. If you have questions regarding the change notifications noted above, please email: MHMContractConfigDept@
Maternal Infant Health Providers (MIHP)
All Maternal Infant Health Providers (MIHP) should bill Molina Healthcare directly for services. For a list of frequently asked questions please click here.
Thank you for attending our MIHP Webinar. For a copy of the PowerPoint presentation, please click here.
For more information about MIHP, visit the following web page: www.michigan.gov/mihp
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 please click here.