Molina Healthcare of Michigan Prior Authorization Request Form. "> Molina Healthcare of Michigan Prior Authorization Request Form. "> Molina Healthcare of Michigan Prior Authorization Request Form. "> Molina Medicaid Michigan Phone Number - Molina Dual Options MI Health Link.

Molina Medicaid Michigan Phone Number - Molina Dual Options MI Health Link.

Last updated:

If changing both the Group/Practice Name and the Tax ID Number, a new contract is required. To enroll in a Medicaid Health Plan: MICHIGAN ENROLLS1-888-367-6557. This searchable online directory contains all Molina Dual Options full network of providers for the state of Michigan. For questions regarding policy and coverage information, call: 1-888-898-7969. For hearing impaired assistance please contact our Telecommunication Device for the. Molina Healthcare is an equal opportunity employer and makes employment decisions on the basis of merit to ensure the best fit in every position. It is the objective of Molina to provide superior health care to the community. Both plans offer similar benefits. Find available transportation services with Molina Healthcare's. Member Services Fax: (713) 623-0645. DETROIT, April 1, 2024 – Molina Healthcare of Michigan (“Molina”), in partnership with Michigan Medicine, the University of Michigan’s academic medical center, announced the Incentives2Quit Program, a completely virtual program to promote smoking cessation among Medicaid-enrolled expectant mothers in Michigan. Molina's number is (888) 483-0760. baby tyrant naver webtoon Molina Healthcare of Michigan (“Molina”) announced an. com/cms/main ; ​Medical Services, ​ ; ​Phone Number. Our Molina Healthcare of Iowa provides quality, low or no-cost health care for you and your family. Are you a Provider with a Question? Do you Want to Join the Molina Healthcare Provider Network? Give us a call at (800) 424-5891 Monday-Friday 8 am 6 pm local time/MST. 5,284 likes · 224 talking about this. The next contract is expected to have a duration of …. Molina Healthcare of Florida has a contract with the Florida Agency for Health Care Administration (Agency) to provide health care services to people with Medicaid. Q1 2023 Marketplace PA Guide/Request Form (Vendors) Effective 01. Please follow the instructions below for your provider type. Molina Medicare Complete Care Select HMO D-SNP. Forgot your Username? Forgot your Password? ©2023 Molina Healthcare, Inc. To learn more about the PNM module and Centralized. Medicaid (833) 685-2109 Monday to Friday, 8:00 a. You can call us Monday to Friday (except on holidays). You may submit the request by mail, fax, or e-mail to one of the following: MDHHS/Medicaid Program Policy Division PO Box 30479 Lansing, MI 48909 or E-mail: MSA-Forms@Michigan. If your zip code and provider type are listed, Molina must help you find an appointment. This may affect how soon they can give you care or respond to you about care. You have been approved to use special bus services and have a Special Medical Transportation Card. Contact Molina Healthcare of New York to get member information, locate services and providers near you and more. You can contact Access2Care at (866) 462-4857 to schedule transportation to non-emergency health care appointments. If you use Medicaid, you probably see the benefits of the program. Third parties may include: Medicare. Virginia Medicaid is the state and Federal partnership that provides medical coverage to eligible needy persons. Please consult your insurance plan if you are unsure of your coverage. Tracy Gandara, Sr Provider Relations Representative. in Los Angeles County to help you get the care you need. Phone number; Email address; Mailing address Step 1: Update your contact information with DHHS. Providers cannot request to alter or remove reviews. Molina Healthcare is a leading provider of Medicaid plans designed to provide low-income families with comprehensive healthcare coverage. Medicare-Medicaid Alignment Initiative – Molina Dual Options Toll free: (855) 895-9987 TTY: 711 Monday to Friday, 8:00 a. Any unpaid amounts to the MI Health Account will not be taken out of state tax refunds or lottery winnings anymore. ksat 12 facebook After normal business hours: Monday - Friday 5:00 pm - 8:30 am. If you need help with the Benefits Pro Portal or placing an order, please call 877-208-9243 (TTY: 711). Long Beach, CA 90801 : Mississippi (MS) paper claims. If you would like to file an appeal, please call our Member Services Department at (888) 898-7969, Monday - Friday, 8 a. Prior authorization is required for some services through Molina's Utilization Management department, which is available 24 hours a day, 7 days a week. etsy doll Molina continues to provide health coverage for mothers for 12 months after the baby’s birth. (888) 275-8750 (English) (866) 648-3537 (Spanish). Contact information: Molina Healthcare Michigan - Utilization Management Department Services. You can give Your doctor’s office the toll-free FastStart® physician number 1 (800) 378 …. Fax Number: 844-861-1930 (Routine OB – NON - NICU). mhtxproviderservices@molinahealthcare. Molina Healthcare of Michigan number (855) 542-1988 Monday to Friday 9am-6pm Eastern Time Member Services Member Services number (888) 560-4087 For information regarding Molina Healthcare Medicaid and Medicare Programs, visit MolinaHealthcare. Main Phone: Molina Healthcare of California main phone number (562) 499-6191 Toll Free: Molina Healthcare of California fax number (888) 665-4621 TTY: 711 Business Hours: 7:30am - 5:30pm Monday - Friday For information regarding Molina Healthcare Medicaid and Medicare Programs, visit MolinaHealthcare. Find a provider or pharmacy online here. Phone Number: Fax Number: Michigan HealthCare Referral Form Date Written: Revised Referral: Patient Name: DOB: Plan Name: BCN Blue Choice CAPE Care Choices GLHP HAP Health Plan of MI M-CARE Molina OmniCare Total Health Care Wellness Plan Other Please see member ID card to verify Phone Number: ax Number: Address: LAST …. Box 30062 Lansing, MI 48909 Phone: 1-855-MI-FRAUD (1-855-643-7283) Online:www. hesi fundamentals study guide pdf Provide your Molina Marketplace Member number (found on your ID card), your prescription name(s), your doctor’s name and phone number, and your mailing address. Westridge Circle Irving, TX 75038 Business Hours: 8:00 a. You can contact our Pharmacy team at (800) 665-3086, TTY 711, 7 days a week, 8:00 am to 8:00 pm local time. How to Enroll in Healthy Michigan Health Insurance. To verify the status of your Claims, please use the Availity Essentials portal. COVID-19 Public Health Emergency (PHE) 2023 Benefit …. Provider Information ; ​Submit requests, ​https://c3kepro. 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. (Assistive technologies, including self-service and voicemail. Practitioner’s currently listed. Molina has expanded dental coverage to Medicaid beneficiaries 21 years and older. 24 Hour Behavioral Health Crisis (7 days/week):. Thank you for participating with Molina Healthcare of Michigan, Inc. Molina supports our Providers, and as such would like to highlight the many …. Molina Dual Options MI Health Link Medicare-Medicaid Plan is a health plan that contracts with both Medicare and Michigan Medicaid to provide benefits of both programs to enrollees. You can call the Nurse Advice Line with your medical questions at (800) 424-5891 (TTY: 711). Monday - Friday CST Provider Services Phone: (855) 322 For information regarding Molina Healthcare Medicaid and Medicare Programs, visit MolinaHealthcare. People eligible for Medicaid are not paid by. This is called the Statewide Medicaid Managed Care (SMMC) Program. Just follow these easy steps: Step 1: Go to www. Through our locally operated health plans, Molina Healthcare serves approximately 5. Representatives are available Monday-Friday, 8:00 a. Calls regarding a request for the authorization of medical services will …. Michigan Enrolls’ phone number is (888) 367-6557. , Suite 750 MHILProviderNetworkManagement@MolinaHealthcare. We want you to know that we are here to help. is committed to helping individuals participate in the workforce and ensuring equal opportunity to apply and compete for jobs. Please contact the Member Services Department at 1-888-665-4621 and someone will assist you. why is larry potash wearing a sling Dial 988 for free confidential help from the National Suicide Lifeline. ​800-346-8272 ; ​FAX Number, ​866-209-9632. Reporting Compliance and Fraud, Waste, or Abuse. The go-live date for Molina Healthcare of Michigan’s new Medicaid contract is expected to be October 1, 2024. How to Enroll in State of Michigan Medicaid Health Insurance. Would you like to become a Medicare-Medicaid Plan (MMP) provider with Molina Dual Options? Call us at (855) 322-4075 or complete Non-Par Provider Contract Request Form and email it to MHVA_Contracting@MolinaHealthcare. Available Monday through Sunday from 8 a. Technical Support for MyMolina. Waiver services provided for home and community based health care services for aged and disabled persons. Assistance is available Monday through Friday from 8 a. Medical record standards enable promote quality care though communication, coordination and continuity of care, …. Since our beginnings as a neighborhood clinic in 1980 …. Main Line Toll Free (844) 826-4333 Molina Healthcare AlertLine Phone: (866) 606-3889. Technical Support: (866) 449-6848. Molina Healthcare Dentists with great reviews in Flint, MI. The time it takes to get an appointment or be seen by a provider. If you’re eligible for Medicaid or Healthy Michigan Plan health care coverage, call Michigan ENROLLS at 1-888-367-6557 …. Michigan Enrolls’ phone number is 1-888-367-6557. Learn about the best vanity number providers. You can complete an application for Medical assistance at MI Bridges Website. com en Español) Step 2: Enter your Member ID number (or social security number), date of birth and zip code. Healthy Michigan Health Insurance Eligibility. Coding Changes - Corrected Claim. Molina Healthcare of Michigan, Inc Marketplace. 24-hour Behavioral Health Crisis …. Providing high quality, affordable health care to families and individuals covered by …. Member Name: Date of Birth: Member ID Number (on your Molina Healthcare ID card): Address: City: State: ZIP Code: Phone Number: Authorized Representative Information. For other Claims questions con tact Provider Services at: Telephone: (855) 322-4077. Molina Healthcare of Illinois 2001 Butterfield Road, Suite 750 Downers Grove, IL 60515. Provider News Bulletin Prior Authorization Code Matrix- February 2023. It tells you what you need to know about your Molina Healthcare of New York Medicaid Managed Care (MMC) Health Plan. Medicaid works by a case worker first determining the individual’s eligibility to receive Medicaid. If members do not choose a health plan, Michigan Enrolls will assign the member to a health plan. Davis, Weber and Box Elder counties 1-877-882-7272. Enter in the previous authorization number. You are leaving the Molina Medicare product webpages and going to Molina's non-Medicare web pages. whether a service is covered or requires Prior Authorization please contact Molina at (800) 665-3072, seven (7) days a week, from 8:00 a. Learn more about your health plan, what's covered and the many programs we offer. Call us at (855) 882-3901, ( TTY: 711 ), and we’ll update your …. Below is a list of phone numbers and addresses for grievances and appeals. Step 1: Go to My Molina ( MiMolina. Molina Healthcare List of States - Medicaid Payer ID Molina Healthcare Claims addres - Medicaid Molina Healthcare Phone Number - Medicaid Molina …. You can order online, by phone, by mail, by using the OTC - Anywhere Mobile App, or by debit card at Walmart. Molina Healthcare partners with Vision Service Plan (VSP) to provide you with covered vision services. Our enrollment service representatives are available Monday to Friday from 5:00 a. To learn more about MI Health Link, contact the Michigan Medicare/Medicaid Assistance Program (MMAP) Options Counselor or MI Enrolls. The go-live date for Molina Healthcare of …. Member Services: (844) 782-2018, TTY: Nebraska Medicaid and Long-Term Care (MLTC) ACCESSNebraska. You can get non-prescription OTC health and wellness items like vitamins, sunscreen, pain relievers, cough and cold medicine and bandages. Attention: Appeals and Grievance Department. Visit MI Bridges to apply for benefits, check your eligibility status, manage your account and explore resources. Sincerely, Your NationsBenefits Team. Medicaid (Healthy MI and CSHS) Molina Dual Options (MI Health NEW Provider’s Phone: ( ) Molina Healthcare of Michigan, Inc. Based on standards set forth by the National Committee for Quality Assurance (NCQA) all Providers listed in literature for Molina Healthcare will be credentialed. vietnamese coffee bikini near me Nurse Advice Line: 1-844-782-2721 (TTY: 711) 24/7/365. Phone Number: (844) 236-1464 -7:30 a. That agency is also one of the best ways through which you can find out if your Medicaid is still active. local time TTY/TDD • Call the number on ID card • Call Member's PCP and follow-up within twenty-four (24) to forty-eight (48. Business Hours: Monday - Friday (excluding holidays) - 8:30 am - 5:00 pm. To send us an appeal in writing, mail the document to: Molina Healthcare of South Carolina. Mechanical Ventilator Dependent Waiver | Molina Medicaid SC. We will forward any provider manual updates to your office as necessary. Texas - Molina Medicare Comfort Care (HMO I-SNP) Provider Manuals Select State Arizona California Idaho Illinois 2024 Illinois 2023 Michigan Nevada Ohio South Carolina Texas Utah Virginia Washington Wisconsin Go. Provider Engagement Specialist. If you have questions about this, please call Molina Member Services at (888) 898-7969, Monday through Friday, 8 a. himars decent totk Step 3: Enter your email address. Update your contact information. Emergency transportation (ambulance) or ambulance transport services provided through the "911" emergency response system will be covered when medically necessary. Medicaid (877) 651-9214 : Healthcare Professionals. You can fax us at: (310) 507-6186. If you own a small business, a custom phone number will make it look more professional. Molina is concluding service for its Fresh for Laundry program in Rockford. • Molina Healthcare has a full-time Medical Director available to discuss medical necessity decisions with the requesting physician at 1 (888) 898-7969 MICHIGAN (Service hours 8am-5pm local M-F, unless otherwise specified) Service Phone Fax Authorizations (855) 322-4077 (844) 251-1450 eviCore Authorizations* (888) 333-8144 (800) 540-2046. Enrollment Fax: (713) 623-0645. Molina Healthcare of Michigan Medicaid Health Plan: What’s Covered. (Assistive technologies, including self-service and voicemail options, are available after regular business hours, on Saturdays and Sundays, …. Member Services and Care Management (855) 665-4623 (English & Españ ol) 8 a. Register today It is simple to do. Submitting Electronic Data Interchange (EDI) Claims. Molina Healthcare of Texas offers STAR+PLUS Medicaid in the following service areas: Members in the STAR+PLUS program. planet fitness tanning review You can contact them at (877) 552-4642. You pick a medical plan that provides your Medicaid services and a main doctor that is your point of contact for …. "naphtha agreement" Health care providers can use the Provider Portal for service. This information can be provided orally in English, or in your primary language. TTY for Deaf and Hard of Hearing: 7-1-1. life must go on rod wave lyrics If you need additional help or have questions, contact the MHLO. When you call to make an appointment with a specialist, you will be seen within (30) days. (833) 685-2102 (TTY/TDD: 711) Email: NVMemberServices@Molinahealthcare. Search Center : medicare advantage. You can order: Online: Visit MolinaHealthcareOTC. New Member ID cards will be sent to you when you change …. Please contact Molina Healthcare Provider Services at (844) 826-4335. Still have questions? Contact Member Services at (888) 898-7969. Molina Healthcare of Michigan, 100 W. Member Services team can: • Activate the cards. South Carolina Healthy Connections Choices, South Carolina’s managed care enrollment broker for Medicaid recipients, decides eligibility for enrollment in Molina Healthcare of South Carolina. Attn: Provider Appeals Attn: Provider Appeals. Please enter a valid phone number Please enter your Phone Number. Phone Numbers Main Lines: Toll free (855) 322-4077 Member Services: (888) 560-4087 Member Eligibility Verification: For information regarding Molina Healthcare Medicaid and Medicare Programs, visit …. For more information, please call our CSHCS specially-trained staff at (888) 898-7969, Monday - Friday, 8 a. Mar 30, 2020 · Molina Healthcare has a dedicated phone number to help with all your LTSS needs. Molina Healthcare of Wisconsin Member Services. 365 days per year by calling the Member Services telephone number on the back of their Molina ID card. – Prior Authorization Request Form MEMBER INFORMATION Line of Business: ☐Medicaid Marketplace Medicare Date of Request: State/Health Plan (i. Step 3 – A Molina provider network representative will review your initial application and contact you. After enrolling in Molina Healthcare, you will get a member welcome packet and identification (ID) Card …. racist goku meme If you are deaf or hard of hearing and you use a TTY/TDD system, you …. It also gives you a main doctor. Email: MCCVA-Provider@molinahealthcare. Currently, these individuals navigate multiple sets of rules, benefits, insurance cards, and providers in accessing services covered by Medicare Parts A and B, Part D, and Medicaid. When it's time to partner with the right healthcare company to administer your Medicaid program, you can lean on Molina. Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine The purpose of these awards is to recruit and train exceptional physician-scientis. Inpatient Claims are based on the Member’s discharge date. • Check the purchase totals, locations, and decline reasons. toll free at 1 (888) 746-6456 (for TTY/TDD service call 711) Monday - Friday from 8 am to 5 pm. The Michigan Department of Health and Human Services (MDHHS) must re-determine an individual’s eligibility for active programs every 12 months. English, Spanish & Arabic: (844) 489-2541. We offer special services and programs for adult and child members who need extra help with health issues. Molina also offers a direct submit/web-based claims option through Availity Essentials Provider Portal to Molina for both Medicaid and Medicare claims. Long Beach, CA 90801 Phone: (800) 745-4044 or (425) 424-1108. Provider Services: (844) 236-1464. Most people who have Medicaid in Texas get their coverage through the STAR program. 24 Hour Nurse Advice Line (888) 275-8750 (Spanish (866) 648-3537). Quality Improvement HEDIS Medicaid/Healthy MI Plan/MIChild. Contact Molina Healthcare of Ohio. Out-of-state providers: Contact Provider Inquiry at 1-800-292-2550 to verify eligibility. A (grievance) can be filed when you are unhappy with your care. With so few reviews, your opinion of Molina Healthcare of Michigan Regional Office could be huge. Molina Healthcare of Michigan ("Molina") announced an. Choose your preferred phone number and email to receive communications from Molina. If you require a reasonable accommodation to complete the application process due to a disability or sincerely held religious belief, please email Human Resources at erc@molinahealthcare. Medicaid eligibility depends on factors such as income, household size, and location. As of Dec 31, 2023, MOH catered to around 4. The Molina Healthcare HealthChoice Illinois health plan offers free medical coverage to seniors and people with disabilities, children, pregnant women, families and adults on Illinois Medicaid. Standards for Medical Record Documentation. Use the phone numbers below to contact a Behavioral Health Advocate in your area: Region: Counties: The Member Handbook tells you what you need to know about your Molina Healthcare Apple Health (Medicaid) Health Plan. The MCCVA Payer ID will no longer be accepted effective 7/1/2022. We're looking for providers to serve our Medicaid recipients in the Commonwealth. MEMBER INFORMATION Plan: Molina:. Please call or email us at: (509) 321-1365 (TTY 711) Mon. Contact your health plan if you need transportation assistance to get to and from this appointment. You must have prior authorization before the services will be provided. , a FORTUNE 500 company, provides managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces. If you discover you have an HMO you will need to call the phone number on your Medicaid card for transportation information. Providers are expected to submit a pre-service authorization request prior to providing the service or care. If this is your recommend placing your order online or by phone. Effective January 1 through December 31, 2022. *Actual compensation may vary from posting based on geographic location, work experience, education and/or skill level. Nurse Advice Line: (833) 685-2104 (TTY/TDD: 711) Non-Emergency Transportation Services Provided by MTM: (844) 879-7341 or. Even after you apply for Medicaid benefits in Michigan, you may need to go to the office to speak with program workers. 24-hour Behavioral Health Crisis Hotline: 988. Molina Healthcare offers a competitive benefits and compensation package. McLaren Health Plan Medicaid customer service is available Monday through Friday from 8 a. For information regarding Molina Healthcare Medicaid and Medicare Programs, visit. Emergency Medical Transportation: If you need emergency medical transportation, call “911”. MI Health Link is a health care option for Michigan adults, age 21 or older, who are enrolled in both Medicare and Medicaid. Language support services are available if needed, free of charge. Medicaid provides for specific medically necessary services and supplies. Molina Healthcare & Vendors' Contact Information. Molina Medicaid Plus Toll free: (844) 560-9811 TTY: 711 7 days a week, 8:00 a. The go-live date for Molina Healthcare of Michigan’ s new Medicaid contract is expected to be October 1, 2024. Non-emergency medical transportation: To arrange transportation, or if you have any questions, please call (844) 644-6354. Candy Williard - Director, Provider Engagement. Molina Healthcare is now available in all counties in lower Michigan. If your call goes to voice mail, please leave your name and phone number. Contact Molina Healthcare of Michigan to get information on your. STAR is a Texas Medicaid managed care program. Molina Healthcare UM staff is always available to receive your calls and provide outbound communication regarding UM issues. A fax bulletin from Molina Healthcare of Michigan (MHM) • May 2, 2022 MEDICAID (Service hours 8am-5pm local M-F, unless otherwise specified) Service Phone Fax Prior Authorizations (855) 322-4077. Use the tabs above to learn about and register for our training opportunities and scheduled events. Explore your Molina Healthcare plan. Phone (800) 869-7165 Fax (800) 816-3778: Mailing Address: Molina Healthcare of Washington PO Box 4004 Bothell, WA 98041-4004 : WASHINGTON STATE …. Log in to the Provider Portal to check. walgreens covid testing results If you, or someone you’re helping, has questions about Molina Marketplace, you have the right to get help and information in your language at no cost. Group/Practice NPI #: Contact Number: Email address: Contact Name: Group/Practice Add, Name Change, Tax ID Number Change and NPI Change. Provider Services (855) 322-4080. The Special Provider Bulletin is a newsletter distributed to. If you have a grievance, use Molina's grievance process before contacting the regulatory department. shabbat ends at what time today ’s (Molina) Medicaid line of business. Open Position, Sr Provider Relations Representative. Being able to visit a provider you trust with all your health care needs. Emergency transportation is covered when medically necessary with Apple …. Dec 21, 2023 · Member Services. For information regarding Molina Healthcare Medicaid and …. Explore your Molina Healthcare of Iowa Plan. You can count on EDI for: Efficient information delivery, Reduced operational costs associated with paper claims, Increased data accuracy, HIPAA compliance, and more. 880 West Long Lake Road, Suite 600. , OB/GYN) Behavioral health visits 24 visits without prior approval. Provider Services Claims (855) 322-4079 (855) 322-4079: Utilization Management TTY (855) 322-4079 Medicaid/MyCare Ohio Opt-Out (866) 449-6843: Prior Authorization – MyCare Ohio Opt-In Outpatient* You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Any reference to Molina Members means Molina Healthcare Medicaid Members. Step 3 - A Molina provider network representative will review your initial application and contact you. Specialty Pharmaceuticals, Injectable and Infusion Services. If you would like a specialist to be your PCP and the doctor agrees, you can call MemberServices toll-free at (866) 449-6849 or CHIP RSA (877) 319-6826 for help. 24 Hour Nurse Advice Line (888) 275-8750 (Spanish (866) 648 …. Molina Healthcare Healthy Michigan Plan. At Molina Healthcare, our coverage is designed around you, with plans to fit your needs. com en Español) Step 2: Enter your Member ID number, date of birth and zip code Step 3: Enter your email address Step 4: Create a password. Molina Healthcare of Michigan Phone Number -(Medicare Advantage) 38334: PO Box 22668, Long Beach, CA 90801: Provider Services- 855-322-4077: 1 year year from the DOS: Member Services- 800-665-3072: Molina Healthcare Phone Number - Medicaid: Molina Healthcare Timely Filing Limit. Molina Healthcare of Washington. Providers can access the most current Provider Manual at MolinaHealthcare. Contact Customer Service: 888. gov for the plan year 2024 open enrollment period. Part D Fax: (866) 290-1309 J Code Fax: (800) 391 …. Call Molina Healthcare Member Services at (855) 882-3901. DETROIT, April 1, 2024 - Molina Healthcare of Michigan ("Molina"), in partnership with Michigan Medicine, the University of Michigan's academic medical center, announced the Incentives2Quit Program, a completely virtual program to promote smoking cessation among Medicaid-enrolled expectant mothers in Michigan. Claims Address: Molina Healthcare of Washington, Inc. Quality Improvement HEDIS Medicaid/Healthy MI …. SECTION 2: New Facility (Health Delivery Organization). Fraud, Waste and Abuse AlertLine: (866) 606-3889. american freight finance payment Call Member Services at (888) 898-7969, Monday - Friday, 8 a. Long Lake Rd Troy, MI 48098 Fax: General Fax Number: (248) 925-1732 Notification of Pregnancy Form (NOP): Fax to (844) 861-1932 Molina Healthcare of …. Toll Free: (833) 306-3394 TTY: 711. Contact Molina Healthcare of Nebraska.