Medicaid

Molina Healthcare staff will help coordinate your care

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Living with health problems and managing them can be hard. We have special services and programs.  These are for members who need extra help with a health problem. This can be any adult or child who is getting health services for an ongoing health problem. The programs are free.

Molina Healthcare staff can help you:

  • Access services that you are eligible to get.
  • Set up appointments and tests.
  • Set up transportation.
  • Find any gaps in care.
  • Find any healthcare needs.
  • Access resources to help you with special health care needs and/or your caregivers deal with day-to-day stress.
  • Coordinate the move from one setting to another. This can include being discharged from the hospital.
  • Assessing eligibility for long-term care services and supports.
  • Connect with community resources.
  • Find services that might not be benefits. This includes community and social services programs such as physical therapy with the schools or “Meals on Wheels”.
  • Set up services with a primary care physician (PCP), family members, caregivers and any other identified provider.

 

How do members enroll?

The Case Management programs are voluntary but a member must meet certain requirements. You can also be referred to one of the programs through:

  • Provider referrals
  • Self referrals

 

Who do I contact for more information?

Please call our Health Management Department at (866) 891-2320 (TTY: 711). Our staff can give you more info. They can also let you know what programs you are currently enrolled in. You can also ask for a referral.  You can also ask to be taken out of a program.

 

Parents/Guardians of Member receiving Private Duty Nursing (PDN) services:

Molina Healthcare of Florida has a Case Manager Program. If your child receives Private Duty Nursing (PDN) and a service is missed due to a provider failure, our Case Managers / Care Coordinators are here to help. We kindly ask that you notify the Case Manager / Care Coordinator as soon as possible of any missed service due to a provider failure by doing one of the following:

  • Call the Case Manager / Care Coordinator
  • Text the Case Manager / Care Coordinator
  • Email the Case Manager / Care Coordinator
  • Send an email to: PDNFamilies@molinahealthcare.com
  • Call the Molina 24/7 Nurse Advice Line (NAL) at (866) 275-8750 English, (866) 648-3537 (Spanish), TTY (866) 735-2922.