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Claims Payment Systemic Error
Page Content Ohio Managed Care Plans are required by the Medicaid Managed Care Provider Agreement (Appendix K, Claims Payment Systemic Errors) and the MyCare Ohio Provider Agreement (Appendix C, Pla...
/providers/oh/duals/comm/Claims-Payment-System-Error.aspx
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Benefits of Using EDI
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/providers/fl/medicaid/ediera/edi/benefits.aspx
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Clearinghouse Information
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/providers/fl/medicaid/ediera/edi/chinfo.aspx
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Frequently Used Forms
  ACT Form   Adult BH HCBS: Prior/Continuing Auth Request Form   Behavioral Health Prior Authorization Form ...
/providers/ny/medicaid/forms/fuf.aspx
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HIPAA 5010 Readiness
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...
/providers/ny/medicaid/hipaa/5010Readiness.aspx
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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/ny/medicaid/hipaa/codesets.aspx
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Contact HIPAA
HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
/providers/ny/medicaid/hipaa/contact.aspx
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HIPAA Resource Center
Our HIPAA resource center includes the following important information for health care providers:Molina Healthcare's HIPAA readiness status and implementation materials; Information on how to conduct ...
/providers/ny/medicaid/hipaa/home.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/ny/medicaid/hipaa/npi.aspx
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Opioid Safety Provider Education Resources
Opioid toxicity and abuse is a public health concern in the United States. There has been an alarming increase in the number of opioid-related deaths in recent years. In 2016, the United States saw mo...
/providers/ny/medicaid/hipaa/Opioid-Safety-Guidelines.aspx