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Medicaid Next Generation
Page Content The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) have been implemented. With the launch of the new EDI and FI, there ar...
/providers/oh/medicaid/comm/nextgen.aspx
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Fraud Prevention Tips
Molina Healthcare of Ohio 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 state au...
/providers/oh/medicaid/policies/fraud.aspx
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Contact Us
Molina Healthcare of Ohio P.O. Box 34234-9020 Columbus, OH 43234-9020 Business Hours Medicaid: 7 a.m. to 8 ...
/providers/oh/duals/contacts/contactus.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/oh/duals/hipaa/codesets.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/oh/duals/hipaa/npi.aspx
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Provider Resource Guide
Welcome to Molina Healthcare of Ohio; we are glad you made the decision to become a part of our network!Provider Services Department Address: P.O.Box 349020Columbus, Ohio 43234 Phone: (855) 322-4079 P...
/providers/oh/duals/resource/resource_guide.aspx
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Provider Manual
  2020 Provider Manual 2019 Provider Manual   Provider Orientation 1.Molina Marketplace Provider Orientation 2.Claim Features Training – New!   Adobe Acrobat Reader is required to view the file(s) ...
/providers/oh/marketplace/manual/provd.aspx
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Quick Reference Guides & FAQs
Patient Driven Payment Model FAQ Home Health Patient Drive Groupings Model FAQ MyCare Ohio and Medicare Authorization and Claim Reconsideration Guide Americans with Disabilities Act (ADA) FAQ Me...
/providers/oh/marketplace/manual/Quick-Reference-Guides-FAQs.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/tx/medicaid/ediera/edi/contact.aspx
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Fraud Prevention Tips
Molina Healthcare of Florida ("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 sta...
/providers/fl/marketplace/policies/fraud.aspx