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 ...
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 ...
Molina Healthcare of New Mexico ("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 federal and s...
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...
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...
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...
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...
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...
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...
