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...
aHIPAA Security Standards for the Protection of Electronic Protected Health InformationThe Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
Below are the Molina Healthcare rights and responsibilities as written in the Molina Healthcare Member Handbook. State law requires that health care providers or health care facilities recognize Membe...
The Patient Safety Program identifies appropriate safety projects and error avoidance for Molina Healthcare members in collaboration with their primary care providers.Safe Clinical PracticeThe Molina ...
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Assessment and Interventions for Substance Use and Opioid Use Disorders
Molina Healthcare adopted an enterprise-wide Substance Use Disorder (SUD) Care Model with the purpose of providing the best...
Beginning July 1, 2024, all MCO plans will use the same list of outpatient drugs covered under the pharmacy benefit. This list is called a Single Preferred Drug List (SPDL). Members can expect changes...
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Electronic Prior Authorization Link
Providers are able to complete prior authorizations online via the following link:
Electronic Prior Authorization Information
Texas Standardized Pr...
