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Avesis Dental
Avēsis administers MississippiCAN and CHIP Dental benefits for Molina Healthcare of Mississippi. Dental Claims Please note that when submitting a dental claim to Avēsis, via the provider portal, clea...
/providers/az/medicaid/resource/dental.aspx
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Case Management | Molina Complete Care
Molina Complete Care (MCC) provides a comprehensive care management (CM) program to all members who meet the criteria for services. The CM program focuses on procuring and coordinating the care, servi...
/providers/az/medicaid/resource/case_mgt.aspx
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Utilization Management | Molina Complete Care
Medical Necessity Criteria Information sources used to determine benefit coverage and medical necessity include AHCCCS state coverage policies (AMPM/ACOM), MCG, Molina proprietary guidelines, national...
/providers/az/medicaid/resource/utilized_mgt.aspx
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Unique Identifiers | Molina Complete Care
Molina Complete Care (MCC) 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 provi...
/providers/az/medicaid/hipaa/npi.aspx
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HIPAA Transactions | Molina Complete Care
HIPAA Standards for Electronic Health Care Transactions HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic health care transactions. All cover...
/providers/az/medicaid/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/az/medicaid/hipaa/tcs_readiness.aspx
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Submitting EDI Transactions | Molina Complete Care
Types of EDI Transactions Electronic Data Interchange (EDI) functionality is utilized by Molina Healthcare of Arizona to complete several types of ASC X12N Version 5010 transactions, including: C...
/providers/az/medicaid/ediera/edi/editrans.aspx
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Clearinghouse Information | Molina Complete Care
Page Content ...
/providers/az/medicaid/ediera/edi/chinfo.aspx
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Social Determinants of Health | Molina Complete Care
Molina Healthcare partners with AHCCCS to support the Whole Person Care Initiative: AHCCCS’ Whole Personal Care Initiative (WPCI), the next system innovation in integrated health care delivery to addr...
/providers/az/medicaid/resource/social_determinants.aspx
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Appeals and Grievances | Molina Healthcare
There are several ways members or their authorized representative (including a provider on behalf of a member) can file a grievance with Molina: By phone: (800) 424-5891 Monday - Friday 8 a.m. to 6 p...
/providers/az/medicaid/policies/appeals.aspx
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