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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/sc/duals/hipaa/codesets.aspx
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Provider Bulletins
November 22, 2024 2025 Claims Hold To accommodate the upcoming new 2025 fee schedule, code edit and configuration changes for all lines of business, Molina Healthcare of Wisconsin, Inc. will be holdi...
/providers/wi/medicaid/comm/2024ProvBull_11-22_2025ClaimsHold.aspx
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Provider Bulletins
July 1, 2024   Molina/My Choice Medicaid SSI/BadgerCare Plus Integration Goes Live Today Exciting news! Today, we made a giant leap forward in the continuing integration of two great comp...
/providers/wi/medicaid/comm/2024ProvBull_7-1MCWGoLive.aspx
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Provider Bulletins
March 12, 2024 Molina now serves Adams, Green, Iowa, Richland, and Rock counties Exciting news! Molina Healthcare of Wisconsin is now offering Medicaid SSI/BadgerCare Plus coverage to patients in the...
/providers/wi/medicaid/comm/2024ProvBulletin312Expansion.aspx
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Provider Bulletins
May 29, 2024 Periscope clinical assessments   NOTE: The following information is for Personal Care Workers (PCW) and Durable Medical Equipment (DME) providers only.   Background: As part of Molina He...
/providers/wi/medicaid/comm/2024ProvBull_5-29_Periscope.aspx
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Payments Made Easy
Payments Made Easy is our monthly communication that brings you, our valued Providers, billing and coding tips, tricks, and trends to help your claims get paid quickly and correctly.  Please contact u...
/providers/wi/medicaid/comm/payment.aspx
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Provider Bulletins
August 28, 2024 Important Medicaid Billing Updates Effective August 1, 2024, Molina Healthcare of Wisconsin, Inc. has implemented the following changes to our billing processes to comply with Forward...
/providers/wi/medicaid/comm/2024ProvBull_8-28_Billing.aspx
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Provider Bulletins
July 30, 2024 Coding Validation Implementation   In an effort to detect potential coding errors and incorrect billing practices and ensure your claims are paid quickly and efficiently, we are adding ...
/providers/wi/medicaid/comm/2024ProvBull_7-30_ClaimCoding.aspx
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Provider Bulletins
April 25, 2024 Molina/My Choice Wisconsin Integration Update for April 2024 As we move towards the integration of My Choice Wisconsin (MCW) Medicaid SSI and BadgerCare Plus (BC+) products to Molina H...
/providers/wi/medicaid/comm/2024ProvBull4-25MCWUpdateApril.aspx
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Provider Bulletins
April 11, 2024 Introducing our new monthly You Matter to Molina webinar series! As a network provider partner, You Matter to Molina. We are committed to partnering with you to find innovative solutio...
/providers/wi/medicaid/comm/2024ProvBull04-11-YMTMWebinarAppeals.aspx
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