Members may call (888) 275-8750 anytime they are experiencing symptoms or need health care information. Registered nurses are available (24) hours a day, seven (7) days a week to assess symptoms and h...
motherhood matterssm Pregnancy Management Program Although pregnancy itself is not considered a disease state, a significant percentage of pregnant females on Medicaid are found to be at moderate to h...
Case Management
Molina Healthcare provides a comprehensive Case Management (CM) program to all Members who meet the criteria for services. The CM program focuses on procuring and coordinating the care...
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Complex Case Management
Molina Healthcare offers you and your patients the opportunity to participate in our Complex Case Management Program. Patients appropriate for this voluntary program are those ...
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
The guidelines below were reviewed and adopted by the Molina Healthcare National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed m...
Congestive Heart Failure > What is Heart failure? All of us lose some blood-pumping ability in our hearts as we age, but heart failure happens when the heart can't keep up with its normal workload. Wh...
Asthma > Avoiding Your Asthma TriggersAvoiding or reducing exposure to asthma triggers is an important part of keeping your asthma under control What Are Asthma Triggers? Asthma triggers are things ou...
Asthma > Avoiding a Respiratory InfectionColds, flu or pneumonia can be very serious for people with asthma. What causes respiratory infections?Viruses Bacteria Other germs, such as a fungus These can...
