Providers contracted with Molina Healthcare of MS may submit issues to Molina in several ways, depending on the nature and/or the origin of the issue.
Each department may have differing steps or intak...
Below are the Molina Healthcare rights and responsibilities as written in the Molina Healthcare Member Handbook. New York Law requires that health care Providers or health care facilities recognize M...
Molina Healthcare of Washington is excited to be implementing the Health Homes program in Washington state! A Health Home is not a place, but a set of services to provide care coordination for high c...
Clinical practice guidelines are designed to guide decisions about diagnosing and treating specific health conditions. These guidelines are based on scientific evidence, medical literature reviews, or...
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Assessment and Intervention: Bipolar Disorder
Heightening and extreme shifts between moods is characteristic of Bipolar Disorder. Patients may exhibit symptoms that are a noticeable change from t...
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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
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...
At Molina Healthcare, we value you as a provider in our network. That’s why we work hard to provide you with the resources you need to help care for our members. If you have any questions, please call...