To better coordinate the Molina member Care Plan with the Primary Care Physician, a faxed copy of the ICP will soon be sent to your office for all assigned Molina Medicare and Molina MI Health Link members. As the Primary Care Physician, you are a critical member of the Interdisciplinary Care Team (ICT). An Attestation Form will accompany the faxed ICP.

Please review the ICP upon receipt and note your agreement or add updates you feel are appropriate. Once complete, please return the Attestation Form, along with any changes, to the fax number or mailing address indicated on the communication received with the ICP.

The Primary Care Physician’s signature is required and without other changes, indicates agreement to the Care Plan established by the Care Manager, the member/caregiver, and other members of the ICT.

Click here to view the announcement sent out from Molina.