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HIPAA Transactions
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...
/providers/sc/medicaid/Copy-of-hipaa/tcs.aspx
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HIPAA Transaction Readiness
Since HIPAA’s inception, Molina Healthcare has worked diligently and collaboratively with the broader healthcare community to achieve compliance with the federal HIPAA transactions requirements. Molin...
/providers/sc/medicaid/Copy-of-hipaa/tcs_readiness.aspx
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Frequently Used Forms
Please click on a form below to view a PDF printable version. The files below are in PDF format () February 2020 Marketplace EDC Analyzer Sample Fax Home Health-PGDM FAQs Claims Reconsideratio...
/providers/sc/marketplace/forms/fuf.aspx
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Fraud Prevention Tips
Molina Healthcare of South Carolina ("Molina") seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members, and supports the efforts of federa...
/providers/sc/marketplace/policies/fraud.aspx
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EDI
​​Molina supports our Providers, and as such would like to highlight the many benefits of electronic claims submission that will have direct impact on your time! EDI will help: Efficient informatio...
/providers/sc/medicaid/ediera/edi/benefits.aspx
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Frequently Used Forms
Frequently Used Forms Provider Contracting and Credentialing   Provider Information Update Form   Practitioner Enrollment Application ...
/providers/ms/chip/forms/fuf.aspx
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Quality Improvement
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 ...
/providers/ms/chip/resource/qualityimp.aspx
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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, services, and ...
/providers/ms/chip/resource/case_mgt.aspx
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EDI
​​Molina supports our Providers, and as such would like to highlight the many benefits of electronic claims submission that will have direct impact on your time! EDI will help: Efficient informatio...
/providers/ms/medicaid/ediera/edi/benefits.aspx
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Contact Us
For questions about any of the following areas, please select the appropriate link:Submitting Electronic: Claims, Referral Certification and Authorization1-866-409-2935Email Directly: EDI.Claims@Molin...
/providers/ms/medicaid/ediera/edi/contact.aspx