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 T...
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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:
Effic...
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For questions about any of the following areas, please select the appropriate link:
Submitting Electronic: Claims, Referral Certification and Authorization
1-866-409-2935
Email Directly...
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Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims...
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Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can take 5-7 business days from the day the c...
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Assessment and Intervention: Eating Disorders
Eating Disorders are marked by extremes. Individuals with an eating disorder may severely reduce the amount of food they eat, or eat an unusually lar...
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Behavioral Health Resource One-Pagers for Providers
The files below are in PDF format ( )
Autism Spectrum Disorder (excluding SC)
Depression and Suicide
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Assessment and Interventions for Substance Use and Opioid Use DisordersSubstance Use Disorders _SUD and Opioid Use Disorders _OUD can present in primary care and specialty settings. Molina’s goal...
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Assessment and Diagnosis of Mental Health Conditions in the Primary Care SettingIf you suspect bipolar disorder, schizophrenia or other psychotic disorders, refer your patient to a Molina Healthc...
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Assessment and Intervention: Schizophrenia and Psychotic Disorders Schizophrenia is a chronic, disabling brain disorder that affects more than one percent of the population. Your patient’s level...