Como miembro de Molina Healthcare, si tiene un problema con su atención médica o nuestros servicios, tiene el derecho de presentar una reclamación (queja) o una apelación. Algunos ejemplos son: La ate...
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Transparencia en la cobertura
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You can find answers to your questions below! Also, check out our glossary to look up any words that may be confusing. Don’t see your question? Just give us a call!
Transparency in Coverage
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You can qualify for special enrollment prior to January 2015 if you’ve had a change in life event. This is known as the Special Enrollment Period. Life events include:Losing your job or having a chang...
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The files below are in PDF format ()
Claims
Provider Dispute Resolution Request Form
Prior Authorizations
Behavioral Health Prior Au...
aHIPAA Security Standards for the Protection of Electronic Protected Health InformationThe Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
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...
aMolina Healthcare’s HIPAA 5010 Readiness *Molina Healthcare is ready to test the 5010 versions of the HIPAA transactions with providers and other trading partners. We look forward to working collabo...
Integrated Case Management
Page Content
Care Coordination
As medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a chal...
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...
