Molina Member Rights:
Be treated carefully, with respect and privacy for his or her dignity and privacy.
Be treated fairly, whatever their:
Race.
Religion.
Natio...
Appeal Process
You can file an appeal if Molina Healthcare denied, suspended, terminated, or reduced a requested service. This is called an adverse benefit determination.
You have 60 ...
Appeal Process
You can file an appeal if Molina Healthcare denied, suspended, terminated, or reduced a requested service. This is called an adverse benefit determination.
You have 60 ...
To receive information: The right to receive information about Molina Healthcare, its services, its policies and procedures, practitioners and providers and member rights and responsibilities.
To advo...
Providing quality care to our members is important; therefore, Molina Healthcare, has established standards for medical record documentation to help assure the highest quality of care. Medical record ...
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 ...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along w...
Below are the Molina Healthcare rights and responsibilities as written in the Molina Healthcare Member Handbook. State law requires that health care providers or health care facilities recognize Membe...
Providing quality care to our members is important, therefore, Molina Healthcare has established standards for medical record documentation to help ensure the highest quality of care. Medical record ...
Providing quality care to our members is important; therefore, Molina Healthcare, has established standards for medical record documentation to help assure the highest quality of care. Medical record ...