Welcome to Molina Healthcare of Wisconsin; we are glad you made the decision to become a part of our network!

This manual will provide you with information about Molina Healthcare and will describe how we will work together as you care for your patients' health care needs.

Molina Healthcare Provider Manual

Outpatient Hospital/ASC Procedures Not Requiring Prior Authorization (Effective January 2013)NEW!

Risk Adjustment Presentation (Updated 11/2012)NEW!

Provider Billing Tips  (Updated 10/26/12)NEW!

Molina Healthcare Frequently asked Questions and Answers for Behavioral Health 2012

Addresses and Phone Numbers (Updated 8/2012)

Benefits and Covered Services (Updated 8/2012)

Claims (Updated 8/2012)

Complaints Grievances and Appeals Process (Updated 8/2012)

Credentialing and Recredentialing (Updated 8/2012)

Cultural Competency (Updated 8/2012)

Definition of Terms (Updated 8/2012)

Disease Management and Health Education (Updated 8/2012)

Enrollment Eligibility and Disenrollment (Updated 8/2012)

Forms (Updated 8/2012)

Fraud Waste and Abuse (Updated 8/2012)

HIPAA Requirements and Information (Updated 8/2012)

Hospitals (Updated 8/2012)

Member Rights (Updated 8/2012)

Medical Management (Updated 8/2012)

Provider Rights and Responsibilities (Updated 8/2012)

Quality Improvement (Updated 2/2013)

MWI 2012 New Behavioral Health Orientation

DentaQuest Provider Web Portal

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