Members

Healthcare Services 

Healthcare Services

Molina has a Healthcare Services Team to assist our Apple Health members who need help getting the right type of health care for physical and mental health needs, and accessing community resources for practical needs, like housing and transportation. Our program staff work with a variety of teams and organizations to help you improve your overall health and well-being.

Healthcare Services consists of our Care Management Program, Specialized Programs, Community Connector Services, Health Home Program and more.

 

Care Management

Molina’s Case Managers can assist with:

  • Helping you understand your routine health care needs
  • Coordinating services with your health care team
  • Setting goals to improve your health
  • Understanding chronic conditions and how to manage them
  • Getting services for Long-Term support needs (when help is needed for everyday activities). This can be provided through home health care, skilled nursing care or assisted living care.
  • from one care setting to another, such as skilled nursing facilities or community-based residential programs
  • Coordinating out-of-state care
  • Connecting you with behavioral health services (for mental health and substance use disorder care)
  • Getting support for family needs and connections, such as Maternity Support Services or the Apple Health Integrated Foster program and Department of Children, Youth and Families (DCYF)
  • Filing a grievance
  • And more!

Molina also has specialized staff that work with:

  • Juvenile Justice, Department of Corrections and the Criminal Justice System
    • Justice involved individuals including, but not limited to, juveniles and adults releasing from jail or prison
  • State and community hospitals
  • Evaluation and treatment centers that provide behavioral health care
  • Children’s long-term inpatient facilities
  • Tribal entities and providers/clinics
  • The state crisis systems and organizations that manage the systems

 

Molina’s Care Management Team will assist you when Interpreter Services are needed.

 

How to join the Care Management Program

Joining is voluntary. Members can be referred to the program through a provider referral, or self-referral.

  • Your provider is familiar with Molina’s referral program. If you would like a referral, please ask your provider
  • You may refer yourself by calling Member Services at (800) 869-7165 (TTY: 711)

 

Specialized Programs

Molina’s specialized programs include:

Autism/ABA Therapy

  • Phone: (509) 321-1365 (TTY: 711)
  • Email: ABA@MolinaHealthcare.com

Bariatric Surgery

  • Phone: (425)330-7467 (TTY: 711)
  • Email: MHW_Bariatric_Program@MolinaHealthcare.com

Health Services for Children with Special Needs

  • Phone: (800) 869-7165 (TTY: 711)

High Risk Pregnancy

  • Phone: (800) 869-7165 (TTY: 711)

Transgender Care Coordination

  • Phone: (800) 869-7165 (TTY: 711)

 

Community Connector Services

Molina’s Community Connector Team is comprised of specialized, non-clinical staff, located in communities around the state. Community Connectors are well-connected in their communities and work with our clinical Care Managers to assist you with getting the resources you need that are not directly health related but have an impact on your overall health and well-being. These services may include, but are not limited to:

  • Connecting you to organizations and resources, such as:
  • The Department of Social and Health Services (DSHS)
  • Developmental Disabilities Administration (DDA)
  • Ombuds services
  • Dental health services
  • Supported housing and employment programs/agencies and partners that manage access to housing
  • Non-emergency Apple Health (Medicaid) transportation services
    • Vocational rehabilitation programs
  • Helping you locate and engage with providers or clinics;
  • Assisting with applications or documentation for programs, such as Social Security Income (SSI) or housing applications
  • Helping you navigate the health care system
  • Enrolling in programs such as Women, Infants, and Children (WIC)

 

Health Home Program

A Health Home is not a place. It is a set of care coordination services to support you if you have serious chronic conditions and more than one medical or social service need.

If you qualify for the Health Home Program, a Care Coordinator can:

  • Arrange care with your providers and help make appointments
  • Go with you to appointments if you’d like
  • Provide you with health education materials
  • Help find and connect you to community resources
  • Get social service assistance and help with applications for assistance
  • Help you when transitioning from a hospital or emergency room vision

Joining is voluntary. Members can be referred to the program through a provider referral, or self-referral.

  • Your provider is familiar with Molina’s referral program. If you would like a referral, please ask your provider
  • You may refer yourself by calling Member Services at (800) 869-7165 (TTY: 711)

 

If you have questions about Molina Healthcare Services for Apple Health members, please call Member Services at: (800) 869-7165 (TTY: 711).