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...
PROVIDER Claim Disputes- THE “APPEALS PROCESS”
A Provider/Practitioner grievance or complaint is described in Title 22, California Code of Regulations (CCR), as a written entry into the appeals proc...
Each year Molina Healthcare sets goals to improve our services to members. Annually we measure member satisfaction using the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS®). Th...
To find out more about how to find an accessible provider for your members with special access needs, click on the Find a Provider link at the top of this page and select “CA” as the State from the dr...
Molina Healthcare’s goal is to deliver excellent service to all we serve—including providers. In order to reach this goal, Molina Healthcare has created three (3) Continuing Medical Education (CME) co...
Page Content
The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) have been implemented. With the launch of the new EDI and FI, there ar...
