Centers for Medicare & Medicaid Services (CMS) has provided guidance that State Medicaid agencies resume redetermination activities between February 1 and April 1, 2023.
It is imperative that we help ...
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB.
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims...
Does Molina offer Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)?
Yes. Molina Healthcare offers ERA/EFT through Change Healthcare, who has contracted with ECHO Health for thes...
breathe with easeSM Asthma Program Molina Healthcare provides an asthma disease management program called breathe with easesm, designed to assist Members in understanding their disease. Molina Health...
Care CoordinationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a challenge. It is not unusual to hear from paitent...
¿Qué es una denegación? Una denegación significa que Molina Healthcare le indica a un proveedor y a usted que los servicios no se prestarán o que las facturas no serán pagadas. Si le denegamos un serv...
A grievance is an oral or written expression of dissatisfaction, including any complaint, dispute, request for reconsideration, or appeal made by a member.What types of problems might lead to you fili...
