Molina Healthcare Coverage for Mental Health and Dual Diagnosis Care
Molina Healthcare, a Medicaid managed care and marketplace insurer, typically covers mental health and substance use treatment — including dual diagnosis care — consistent with protections under the Mental Health Parity and Addiction Equity Act. Specific benefits, provider networks, and pre-authorization rules vary by state and plan, so verifying coverage with admissions is recommended.
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Molina Healthcare Coverage for Mental Health and Substance Use Treatment
Molina Healthcare specializes in Medicaid managed care and marketplace plans, serving millions of members through state Medicaid programs. Molina administers behavioral health benefits — including mental health and dual diagnosis care — with coverage details determined by each state's Medicaid program.
Medicaid Managed Care Benefits
As a Medicaid managed care organization, Molina typically covers mental health and dual diagnosis treatment as defined by your state's Medicaid program. This commonly includes outpatient counseling, medication management, intensive outpatient care, and in many states, residential treatment.
Marketplace Plans
Molina also offers ACA marketplace plans in select states, including Washington. These plans cover mental health and substance use treatment as an essential health benefit, with coverage levels depending on the plan tier selected during enrollment.
Care Coordination
Molina provides care coordination for members with mental health and dual diagnosis needs, including help finding providers, scheduling appointments, arranging transportation, and connecting with community resources for housing and employment support.
Verifying Your Molina Healthcare Benefits Before Admission
Verify your Molina Healthcare benefits to confirm your coverage for mental health and dual diagnosis care.
Benefits to Confirm
- Plan type (Medicaid or marketplace) and coverage dates
- Covered mental health and dual diagnosis services
- In-network provider list in your area
- Prior authorization requirements
- Any cost-sharing (copays) for behavioral health
- Transportation benefits to treatment appointments
Removing Barriers to Treatment
Molina focuses on removing barriers to care for its members. If you have difficulty finding treatment or face other obstacles, contact Molina's care coordination team for personalized assistance in accessing mental health and dual diagnosis services.
Getting Started with Molina Healthcare for Behavioral Health Care
Accessing mental health and dual diagnosis care through Molina Healthcare depends on whether you have a Medicaid or marketplace plan.
Molina Medicaid Members
Contact Molina member services to find in-network behavioral health providers in your area. Molina Medicaid plans typically have no or minimal cost-sharing for mental health services, which can make treatment more accessible.
Find Treatment
Use Molina's provider directory to find behavioral health providers, or use our treatment center search to find facilities that accept Medicaid in your area. Filter by state to see facilities in your coverage area.
Member Support Services
Molina offers a 24/7 nurse advice line, behavioral health crisis support, and care coordination to help you navigate mental health and dual diagnosis care. Call the member services number on your Molina card for assistance.
