The guidelines below were reviewed and adopted by the Molina Healthcare National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed m...
UT Code/Benefit Exceptions
1
{A87A00B1-E6DB-45AB-8B54-636FEC3B5523}|{4647D5CB-E3D0-4511-B1BC-3D8773C1AF08}|{A2AA33AD-A5FB-4105-960A-75630EE7F0CF}|{9B1F6D94-AC7D-4A51-876A-D703E8506EA8}|{1CF4DEE5-9FE...
ST:
Traditional Medicaid: After initial evaluation plus six (6) visits for office and outpatient settings. Prior authorization approval required for therapy visits beyond the stated limits.
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Molina Healthcare's Billing and Reimbursement policies have moved to a new page. Please follow the link below for Medicare and Marketplace policies. At the bottom of the linked page, select "Utah Med...
