Do you know when you need a checkup or other preventive health services? Molina Healthcare provides members and their families with information about preventive health checkups and services that they ...
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...
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...
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...
You can find answers to your questions below! Also, check out our glossary to look up any words that may be confusing. Don’t see your question? Just give us a call!
T...
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...
My Molina is your online connection to your plan’s benefits. It is available 24 hours a day, seven days a week. Learn More.
Through your My Molina account you will be able to:
View your bill...
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...
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...
Thank you for your interest in joining Molina Healthcare of Michigan's provider network. Currently, we provide coverage to Medicaid, Medicare (DSNP and Medicare Advantage Prescription Drug plan), MI H...