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Fraud Prevention Tips
Molina Healthcare of Michigan ("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/mi/marketplace/policies/fraud.aspx
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Fraud | Medicare
Molina Healthcare 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 authorities in th...
/members/id/mem/medicare/quality/fraud.aspx
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Molina Medicare Members | Quality Improvement Program (QI)
Medicare CAHPS® Annual Results. Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal. Measure / Data El...
/members/id/mem/medicare/quality/CAHPS_Results.aspx
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Winter 2019
​​The Consumer Assessment of Healthcare Providers and Systems (CAHPS®) is a survey that assesses Molina members’ satisfaction with their health care. It allows us to better serve our members.Molina He...
/providers/ut/marketplace/comm/Winter-2019.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/ut/marketplace/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/ut/marketplace/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/ut/marketplace/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/ut/marketplace/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/ut/marketplace/hipaa/tcs_readiness.aspx
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Provider Manual
Welcome to Molina Healthcare of Utah, Inc. Included in this website please find your Molina Provider Manual, written specifically to address the contractual and regulatory requirements of delivering h...
/providers/ut/marketplace/manual/provider_manual.aspx