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HIPAA Code Sets
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
/providers/mi/medicaid/hipaa/codesets.aspx
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Unique Identifiers
Molina Healthcare has implemented the HIPAA NPI requirements. Beginning May 23, 2008, HIPAA standard transactions must include NPIs.  No legacy identifiers (other than the billing/pay-to provider's Ta...
/providers/mi/medicaid/hipaa/npi.aspx
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HIPAA Transactions
HIPAA Standards for Electronic Healthcare TransactionsHIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered e...
/providers/mi/medicaid/hipaa/tcs.aspx
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HIPAA Transaction Readiness
Since HIPAA’s inception, Molina Healthcare has worked diligently and collaboratively with the broader healthcare community to achieve compliance with the federal HIPAA transactions requirements. Molin...
/providers/mi/medicaid/hipaa/tcs_readiness.aspx
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Fraud Prevention Tips
Molina Healthcare seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members, and supports the efforts of federal and state authorities in thei...
/providers/mi/medicaid/policies/fraud.aspx
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Scope of Program Activities
The Molina Healthcare QI Program encompasses the quality of acute, chronic and preventive health care and service provided in both the inpatient and outpatient setting to our population as determined ...
/providers/mi/medicaid/resource/qi_scope.aspx
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QI Accountability
 Organizational Structure Supporting Quality Improvement: AccountabilityThe Board of DirectorsMolina Healthcare of Michigan's Board has ultimate authority and responsibility for the quality of care an...
/providers/mi/medicaid/resource/qi_account.aspx
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Quality Improvement
The Molina Healthcare Quality Improvement (QI) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, and ...
/providers/mi/medicaid/resource/qualityimp.aspx
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Heart Healthy Living
This program is for adults with high blood pressure, coronary artery disease and/or congestive heart failure. The program is offered at no cost to you. You will learn:About coronary artery disease, hi...
/members/id/mem/lihp/overvw/coverd/hm/dm/hearthlth.aspx
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Healthy Living with Diabetes® Program
This program is for members living with diabetes. The program is offered at no cost to you. You will learn: About the types of diabetes.About diabetes self-care (meal planning, exercise tips, diabetes...
/members/id/mem/lihp/overvw/coverd/hm/dm/hlthliving.aspx