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Frequently Used Forms
Click here to view the forms. New Online Authorization Lookup  Home Health PDGM FAQs Molina Dual Options (Medicare) Forms  Notice of Medical Non-Coverage (NOMNC): CORF Services  Notice of Medical No...
/providers/sc/duals/forms/fuf.aspx
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MarketPlace
We use cookies on our website. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Select Your Language Select Your State Submit Please select one of the sta...
/providers/tx/marketplace/home.aspx
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Provider Bill of Rights
Provider Bill of Rights 1.1 Provider is assured of the following rights:    a. A healthcare professional, acting within the lawful scope of practice, ...
/providers/sc/medicaid/policies/memrights.aspx
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HIPAA 5010 Readiness
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...
/providers/sc/medicaid/Copy-of-hipaa/5010Readiness.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/sc/medicaid/Copy-of-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/sc/medicaid/Copy-of-hipaa/npi.aspx
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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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Contact Us
Claim Submissions PO Box 22664 Long Beach, CA 90801Phone: (855) 237-6178  Provider Services Phone: (855) 237-6178  Member Services Phone: (855) 885-3176  Correspondence Address Molina Healthcare of So...
/providers/sc/marketplace/contacts/contactus.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