What is molina apple health

What is molina apple health. Medical and Behavioral Health Benefit Book, Spanish. The Medicaid Prior Authorization Guide may be subject to change at any time Jul 20, 2023 · Molina is offering virtual care statewide through its contracted provider Teladoc. 2 million members across the United States through licensed, quality accredited health plans. We will evaluate your submission and provide you with a response within 120 days of the next steps. All you need is: a telephone, smartphone, computer or tablet; your Molina Member ID; an email address Feb 24, 2020 · 24 hours a day, 7 days a week, call: English: (888) 275-8750. This includes Apple Health Family/Pregnancy Medical (AHFAM), Apple Health Blind Disabled (AHBD), Apple Health Foster Care (AHFC), Apple Health with Premium (AHPREM) and Apple Health Forefront Cares: Support for family members or loved who have lost someone to suicide. Medicaid Our mission is to provide quality health care to people receiving government assistance. Apple Health offers five health plans, for most Apple Health programs. WA. In Washington State, Medicaid is called Washington Apple Health. Emergency transportation is covered when medically necessary with Apple Health Medicaid plan. Get smart health plan access with your smart phone. Dental Care. Apple Health offers managed care plans in all regions statewide. Spanish: (866) 648-3537. It's easy to use and lets you look after your health care online whether you’re using a computer, your mobile phone or a tablet. Jul 20, 2023 · My Molina. Request a new card be sent to you if you have lost yours. Visit DentistLink to search online for a dental provider 24/7. Notice of Nondiscrimination. Authorization Code Look-Up. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Choosing a Washington Managed Care Plan. Apple Health covers dental care for both children and adults! DentistLink can help anyone in Washington state get connected to dentists who accept Apple Health at no cost to you. Part B Premium. A Behavioral Health Advocate is a person who is an available option to provide free and confidential assistance with resolving concerns related to your behavioral health services (mental health or substance use). $174. Feb 6, 2024 · Connect to a local dentist who accepts Apple Health coverage. He or she will be your personal doctor. We: Are one of the most experienced health care companies in the United States. Serve over 2. Since 2003, Apple Health has used HEDIS Well-Child and Well-Adolescent measures to assess the health plans’ rates for the number of children with qualifying EPSDT exams. This includes Apple Health Family/Pregnancy Medical (AHFAM), Apple Health Blind Disabled (AHBD), Apple Health Foster Care (AHFC), Apple Health with Premium (AHPREM) and Apple Jul 17, 2023 · Molina Healthcare has been serving the health needs of low-income families and individuals for over 30 years. Find out more! Eyeglass frames, lenses, and contact lenses are covered by Apple Health fee-for-service. Integrated Managed Care (IMC) IMC is a state initiative that brings together the payment and delivery of physical health, behavioral health (mental health and substance use disorder treatment) and crisis services for people enrolled in Apple Health (Medicaid), through managed care. Jul 20, 2023 · You or your dependent child may enroll in Molina Healthcare if you are eligible for Apple Health (Medicaid) managed care programs. A committee of physicians and pharmacists reviews and selects the preferred drugs. Largest, Family Owned, Hispanic run health plan in the United States. Treatment for chemical or alcohol dependence. Mental health services. Eyeglasses are covered for children under age 21 through your Washington State Medicaid Services Card. Mar 19, 2024 · Read your Member Handbook today! Medical and Behavioral Health Benefit Book, English. Search for new doctors, change your primary care provider (PCP) and much more. Adults over 21, including pregnant people, and young children receive dental coverage through Apple Health (Medicaid). Not all plans are available in all areas. Nov 18, 2021 · At Molina Healthcare, our coverage is designed around you, with plans to fit your needs. Apple Health for Kids hotline. Apple Health (Medicaid) Behavioral Health Services Only (BHSO) Medicare; Molina Marketplace (QHP) MyHealth Care Centers; My Molina Portal; Molina Help Finder; Health Care Professionals. Jul 20, 2023 · Molina Healthcare Apple Health (Medicaid) Programs offer free or low-cost medical coverage for children and adults with lower income who are eligible for Medicaid. Most Washington Medicaid members will be enrolled in an Apple Health Managed Care Plan. Managed care explained What is managed care? Apple Health offers managed care plans in all regions statewide. Mar 20, 2024 · If you need the a printed copy of the Formulary, you may request one by calling Member Services at (800) 869-7165 (TTY 711), Monday through Friday from 7:30 a. Molina Healthcare is proud to provide IMC services to members Do Apple Health managed care plans include dental coverage? Dental is included under Apple Health coverage for both adults and children. – 6:00p. Apr 1, 2024 · Apple Health (Medicaid) Medicare; Molina Marketplace; Members. You can call WithinReach's Apple Health hotline at 206-204-3503 (weekdays) or visit the ParentHelp123 website to learn more. Take care of your health when you and/or your family get sick. That’s why My Health provides quality care directly do you. Ordered or given while you are in an emergency room or hospital. Non-Emergency Medical Transportation: Call your local transportation broker. My Molina is our online portal for members. At Molina Healthcare, your well-being is important to us. For more information about Molina Healthcare and to review our Provider Nov 9, 2023 · Apple Health (Medicaid) Medicare; Molina Marketplace; Members. Prescription medications. Additionally, Molina owns and operates MyHealth Everett, a primary care clinic in Everett. Dec 14, 2023 · Molina Customer Support Center at (888) 858-3492, (TTY 711), Monday – Friday, 8:00a. Hospitalization. most current Provider Manual at . Read here. Part B Deductible. If you do not qualify for Apple Health, you may qualify for help with your health insurance or for other health services. Find a provider. We are working hard to improve our 2024 Rewards Program to make it easier for you to claim your rewards. Jul 20, 2023 · How can we help you? I'd Like to Become a Molina Member. To find a dentist for yourself or your child, click here. Everett. Jul 20, 2023 · If you are eligible, you can go to any dental providers who contract with Washington State Medicaid. If your call goes to voice mail, please leave your name and phone number. This includes: For more information about Molina Healthcare and free or low-cost health care sponsored by the government, call us at (800) 294-8620. Set up your account today! 1. MolinaHealthcare. Fast See a qualified doctor or nurse practitioner in minutes. . Learn more. Jul 20, 2023 · Apple Health (Medicaid) Medicare; Molina Marketplace; Members. Find out if you are eligible and how to enroll. Jul 20, 2023 · Molina Healthcare staff will help you coordinate your care. Learn more about Apple Health dental coverage for adults and children. Gov/Transportation-Help . Error! While retrieving Prior Authorization LookUp Tool. Depending on your life situation, you may qualify for a different kind of health plan. more news. Manage your health care online. Providing high quality, affordable health care to families and individuals covered by government programs for over 30 years. I'm a Molina Member. Have income at or below 193% of the Federal Poverty Level (FPL) (see income chart below). Let us know the best time and day to reach you. Apple Health (Medicaid) Medicare; Marketplace; Provider Portal; Prior Auth LookUp Tool; Find a Jul 20, 2023 · You can get women’s health care services from any provider who has a contract with Molina Healthcare. Eligibility overview. Feb 5, 2024 · We update our provider manual from time to time as our policies and/or regulatory requirements change. schedule an appointment or come find us at a location near you. For ProviderSource support services please contact (855) 252-4314 (option 1) or via email provider. Learn More. to 6:30 p. Together with our behavioral health providers, our goal is to help keep you well. Incomplete submissions will not be evaluated. Change your provider. , Monday through Friday. The programs that are available to Apple Health (Medicaid) Members at no cost include: Molina My Health – Tobacco Cessation Program. Apple Health (Medicaid) Medicare; Marketplace; Provider Portal; Prior Auth LookUp Tool; Find a Apr 9, 2024 · Apple Health for adults age 65+. Transportation to and from medical appointments, when necessary. One of our goals at Molina is to improve children’s health, as measured by our EPSDT rates. Maternity and newborn care. Members may call (888) 275-8750 (TTY 711) anytime they are experiencing symptoms or need health care information. 70. Jul 20, 2023 · Providing high-quality, affordable health care to families and individuals covered by government programs for over 30 years in the state of Washington. Change my health plan | Washington State Health Care Authority. WithinReach has friendly, local, and knowledgeable staff to help you understand and apply for free or low-cost Apple Health for Kids coverage. (844) 246-0250. On January 1, 2014, Washington expanded Medicaid to a larger and more diverse group of people, including adults and children below certain income levels. Online submission is quick and easy! Call the Kaiser Permanente Medicaid Assistance Center at. 8:00 am to 5:00 pm. Apr 1, 2024 · Rewarding our members for getting checkups is important to Molina. Text “WIC” to 96859. Visit Washington Healthplanfinder or use the WAPlanfinder app to learn if you qualify. Adult members, age 18 and older, who are ready to try and quit tobacco use will work directly with a trained Health Educator to: Molina My Health – Weight Management Program. Providers. Find available transportation services with Molina Healthcare's Apple Health Medicaid plan for those who qualify for Washington Medicaid benefits. 855. Apple Health (Medicaid) Medicare; Marketplace; Provider Portal; Prior Auth LookUp Tool; Find a Feb 20, 2020 · PCP is Your Personal Doctor. For more information, call Member Services at (800) 869-7165 (TTY 711), Monday through Friday from 7:30 a. A preferred drug list (PDL) is a list of drugs that Apple Health will pay for, usually without prior authorization. $240. Lines of Business: Medicaid - Apple Health (AH) - Integrated Managed Care Children | Washington State Health Care Authority. You do not need a referral from your primary care physician (PCP). Please select the location nearest you: Spokane. Molina Healthcare staff can See if you're eligible for WIC and learn how to apply. Medical and Behavioral Health Benefit Book, Russian. Molina uses HCA criteria in all circumstances where the HCA has developed drug In Washington state, Medicaid insurance is called Apple Health. Members. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Jul 20, 2023 · Molina Healthcare's Apple Health (Medicaid) Programs offer free or low-cost medical coverage for children and adults with lower income who are eligible for Medicaid. Most Washington Apple Health (Medicaid) eligible individuals receive their coverage through a managed care plan. CHPW also offers these health plans: If your income level is above Apple Health standards you may qualify for Cascade Care. To find a provider, ophthalmologist or optometrist who can provide you with covered eye care services, visit VSP or call. Part A coinsurance for Inpatient hospital. The MolinaCares Accord Presents $40K Grant to Rosalind Franklin University’s Interprofessional Community Clinic. We value your participation. aba@molinahealthcare. Save time and receive a 90-day refill on your long-term medications *Benefit is available to all Apple Health (Medicaid) members. Apply for or renew Apple Health (Medicaid) coverage online with SecureAccess Washington. Washington Apple Health (Washington's Medicaid Program) provides free or low-cost health coverage to low-income individuals and their families. Multi-language Interpreter Services. You can change your doctor, get an ID card, view claims, update your information & much more ! Log in now. Jul 21, 2023 · Molina Healthcare’s MyHealth is our way of providing quality care directly to you! Call us to. Stre 800 Chicago, Illinois 60654-1529. Registered nurses are available 24 hours a day, seven days a week, to assess symptoms and help make good health care decisions. Download the My Molina mobile app today from the Apple App Store or Get it 6 days ago · Nonemergency transportation for medical and behavioral appointments is available for Apple Health (Medicaid) members. For more information, click here. Apple Health Managed Care Value-Added Benefits Comparison Chart. What is Molina Healthcare? Molina Healthcare has been serving the health needs of low-income families and individuals for over 30 years. Jul 20, 2023 · If you or your provider want a quick decision because your health is at risk, call (800) 869-7165, TTY 711, for an expedited (faster) review of the denial. Choose from one of three ways: Online: Go to wavirtualcare Feb 7, 2024 · Apple Health Fee-For-Service (FFS) 610706 WAPROD N/A N/A Community Health 003858 A4 CHWA N/A Coordinated Care of Washington, Inc. Apple Health (Medicaid) Medicare; Marketplace; Provider Portal; Prior Auth LookUp Tool; Find a 4 days ago · 05/29/2024. Lockbox Number: 75159. You must have prior authorization before the services will be provided. Aug 3, 2023 · Since you’re enrolled in Apple Health for health care coverage, the state reviews your information each year to make sure you’re still eligible for benefits. Received through a pharmacy that is in the Molina Healthcare Pharmacy Network. Molina serves our members through Medicaid, Medicare and Health Insurance Exchange programs. This page contains billing guides, fee schedules, and additional billing materials to help providers find the codes they need to submit prior authorization (PA) for services and billing claims. You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Free for members As a Molina Apple Health (Medicaid) member, virtual care costs you nothing!* Easy. Living with health problems and managing them can be hard. To find a provider, ophthalmologist or optometrist who can provide you with covered eye care services, visit VSP or call (844) 246-0250. MolinaHealthcare. Your primary care provider will help you find frames, lenses, and contact lenses and help you find care when you need it. 9604. Mar 12, 2024 · DentistLink is a free referral service that can connect you with a local dental provider who accepts patients with Apple Health (Medicaid). As a member you can: View/print a Member ID Card. To access the HCA policies, please visit the HCA Apple Health (Medicaid) drug coverage criteria page. Managed care means that you have a set doctor network to choose from, which means that your doctors and specialists are more likely to have a line of communication with each other and you are more likely to get the best care possible. Molina to determine which provider may help to qualify as your health insurance company. $408 per day for 61st - 90th day; $816 per day for over 90 days. Jul 20, 2023 · Molina’s BHSO health plan is designed to provide Washington Apple Health (Medicaid) fee-for-service members with mental health and substance use disorder treatment services. Once you're enrolled in Apple Health, you don't need to purchase a separate dental plan. As always, you may contact MHW at (800) 869-7165 or your regional Provider Service Representative if you have questions about the manual or about MHW in general. (Wed. 923,4633) or TTY/TDD 1. I am unsure if there are major differences between the 5 in terms of coverage, or if they are all effectively the same. 1-800-518-3857 (toll free) or 711 (TTY), 8 a. PCP stands for Primary Care Provider. Program requirements You may be eligible for Apple Health for Pregnant individuals coverage if you: Are pregnant. Feb 5, 2024 · Call the Family Health Hotline at (800) 322-2588. Last Updated: 10/20/2022. When you join the Molina family, you can expect FREE annual exams, LOW-COST plan options, and more BUDGET-FRIENDLY benefits, including free virtual care services through Teladoc! For over 40 years, Molina has provided quality health plans to those who need Apr 26, 2024 · Molina’s BHSO health plan is designed to provide Washington Apple Health (Medicaid) Fee-for-service members with mental health and substance use disorder treatment services. Jul 7, 2023 · Please select your State below to view state-specific contact information. The purpose of the Common Formulary is to: To access the Washington Common Formulary on the HCA website please visit the Apple Health Preferred Drug List (PDL) page. We offer special services and programs for adult and child members who need extra help with health problems. The programs are offered at no cost to you when you qualify for Apple Health (Medicaid). For other questions, call Washington State Medicaid at (800) 562-3022. Apple Heath (Medicaid) fee-for-service (FFS) pharmacy drug coverage lists for healthcare professionals. Peer support for people living with emotional and mental health challenges. Your plan coordinates physical health, mental health, and substance use disorder treatment services to provide whole-person care under one health plan. Value-Added Benefits (VAB) ofer additional supports not covered by Apple Health (Medicaid) and are provided to clients by their managed care plan. You may ask for an expedited review if your physical or mental health is at serious risk, or it involves a mental health drug authorization. WA Warm Line: (877) 500-WARM. Call your local transportation broker. When the time comes to renew your coverage, it’s important that you act quickly. Español: 1-800-521-1956. You may also call or text DentistLink at (844) 888-5465 to talk to a Referral Specialist and receive a referral 8 am-5pm Monday-Friday. Call 1-855-WAFINDER ( 1. 90-day Prescription Refills . Laboratory services. (Molina Healthcare or Molina) Apple Health (Medicaid) 2022 The Provider Manual is customarily updated annually but may be updated more frequently as policies or regulatory requirements change. Program requirements Your child may be eligible for Apple Health for Kids free or low-cost coverage (with a low premium) if they are a Washington resident and your household income is at or below the Medicaid standard (see income charts below). Nov 9, 2023 · Molina Healthcare partners with Vision Service Plan (VSP) to provide you with covered vision services. Select State to view contact information. 2 million members across the United States through licensed, quality Jul 28, 2023 · The Medicaid Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care service and the supporting documentation requirements to demonstrate the medical necessity for a service. to 7:00 p. Molina Healthcare's Behavioral Health Services Only (BHSO) Plan covers mental health and substance use disorder treatment services for members who get their medical services through Apple Health (Medicaid) coverage without a managed care plan. Molina Help Finder. * When Prior Authorization is 'Required', click SRA Create to create Service Request/Authorization. We compare UnitedHealthcare vs. Find out if you are eligible for free or low-cost Washington Apple Health (Medicaid) coverage. Pediatric services, including dental and vision care. This may include services such as: It tells you what you need to know about your Molina Healthcare Apple Health (Medicaid) coverage. Call 24 hours per day, 7 days a week. Log into the Availity Provider Portal to find plan specific information. Jul 21, 2023 · My Molina Mobile App. Orleans St. Free Apple Health for Kids Jul 20, 2023 · How can we help you? I'd Like to Become a Molina Member. Medical and Behavioral Health Benefit Book, Vietnamese. Anytime, anywhere. You don’t need to be sick to see your PCP. Limited dental and vision care for adults. 40+ work quarters = Free Part A; <40 but >29 work quarters = $278 <30 work quarters = $505. They can help if you have a behavioral health grievance, appeal, or fair hearing to resolve your concerns. Medical and Behavioral Health Benefit Book Jul 20, 2023 · Emergency Medical Transportation: If you need emergency medical transportation, call “911”. ProviderOne services card and health plan card | Washington State Health Care Authority. With the mobile app, you can easily see your ID card, print it or send it by email to your doctor. -Fri. to 5 p. Mental health support, info & referrals for pregnant women. Some managed care plans ofer virtual or in-person coordination support to help you access these and other benefits. He or she is here to: Help you stay healthy. 627. Provide you with all the necessary checkups, tests and shots. Get to know you well. All covered services must be medically necessary and are subject to prior authorization requirements. These drugs work well for patients and they are cost effective. Jul 20, 2023 · Molina Healthcare partners with Vision Service Plan (VSP) to provide you with covered vision services. Feb 5, 2024 · Nonemergency transportation for medical and behavioral appointments is available for Apple Health (Medicaid) members. Here is information on some key benefits and services you can get through Molina Healthcare. Molina Healthcare of Texas and Partners Host Community Baby Shower in Houston. Information about Molina Healthcare member eligibility for dental benefits provided by Washington Apple Health Medicaid Dental Programs and Services. I'm a Health Care Professional. Washington Healthplanfinder has representatives who can explain your options, explain financial help available, and walk you through enrolling. Providers can access the . Medical and Behavioral Health Benefit Book, Ukrainian. Aug 9, 2022 · Non-emergency medical transportation. Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Apr 11, 2024 · What's Covered Through Apple Health (Medicaid) What is covered and what is not covered is the question our members ask first. Nov 3, 2023 · BHSO (Behavioral Health Services Only) Molina’s BHSO health plan is designed to provide Washington Apple Health (Medicaid) Fee-for-service members with mental health and substance use disorder treatment services. Nov 9, 2023 · Apple Health (Medicaid) Apple Health (Medicaid) The heart of Molina is to keep you well – both mind and body. support@medversant. m. Apple Health Medicaid Molina Healthcare of Washington Member Services: (800) 869-7165/TTY 711 www. For more information, visit: HCA. Fill out the "Have a Question" form on the lower left side of this Medicaid is a federal and state program that provides health care coverage to those who meet eligibility requirements. Through Apple Health, Molina provides and coordinates both your physical and behavioral health care (mental health and substance use disorder treatment). Click on the links to claim your rewards. Deaf and Hard of Hearing: 711. For adult members, age 18 and Provider billing guides and fee schedules | Washington State Health Care Authority. 003858 MA 2FEA N/A Molina coordination of benefits (COB) members 013089 MCAIDADV Group per Molina plans listed below N/A M olina - AHFAM/IMC (Apple Health Family/Pregnancy) 004336 MCAIDADV RX0540 N/A M olina - AHA Apple Health Medicaid Molina Healthcare of Washington Member Services: (800) 869-7165/TTY 711 www. Washington Apple Health Enrollment Periods Molina Healthcare Dept #75159 350 N. Eyeglasses are covered for children under age 21 through your Apple Health (Medicaid) ProviderOne Oct 20, 2022 · Molina Healthcare of Washington, Inc. Alert! To learn more about COVID-19, Flu, and RSV, click here. Fast See a qualified doctor or nurse practitioner in 30 minutes or less. 1-866-907-1904. com. Please call or email us at: (509) 321-1365 (TTY 711) Mon. Call or text our DentistLink referral specialist team at 844-888-5465 . Apple Health eligibility manual overview; Introduction overview for general eligibility; General eligibility requirements that apply to all Apple Health programs; Classic (non-MAGI) based programs manual; Modified Adjusted Gross Income (MAGI) based programs manual; Long-term services & supports (LTSS) manual Jul 20, 2023 · Apple Health (Medicaid) Medicare; Molina Marketplace; Members. 6 days ago · Translation services are available. Jul 20, 2023 · Molina is offering virtual care statewide through contracted providers. Live in Washington State. Customer support is available Monday through Friday, 7:30 a. 05/24/2024. com 2022 Benefits At-A-Glance Our goal is to provide you with the best care possible. Molina Healthcare is committed to helping our Members: Eligibility overview. 5-9 PM) WA Perinatal Support Line: (888) 404-7763. I'm applying for Apple Health for the first time, and it looks like there are 5 options which are available: Amerigroup, Community Health Plan, Coordinated Care, Molina Healthcare, and United Healthcare. Need mental health help? Dial 988 for free confidential help from the National Suicide Lifeline. You can also find a WIC clinic online or call 1-800-322-2588. Part A Deductible: Inpatient Hospital = $1,632 per benefit period. Each health plan also offers “value added benefits” which are extra benefits that go above and beyond what Apple Health covers. Get help enrolling. -Sun. Many of the plans offer rewards to their members for seeking preventive care, especially for kids and pregnant women. Jul 20, 2023 · Molina’s BHSO health plan is designed to provide Washington Apple Health (Medicaid) Fee-for-service members with mental health and substance use disorder treatment services. *. qd ev yf kd yj zs ut nc wd fe