Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
COVID-19 (Coronavirus) Response
Updated April 2021
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Prior Author...
The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along w...
Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
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...
aaGet to know your Molina Healthcare health plan and learn more about your supplemental benefits. Go to "What's Covered". You can also read your Member Handbook. Register for the member web portal at ...
Our HIPAA resource center includes the following important information for health care providers:Molina Healthcare's HIPAA readiness status and implementation materials; Information on how to conduct ...
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Assessment and Interventions for Substance Use and Opioid Use Disorders
Substance Use Disorders (SUD) and Opioid Use Disorders (OUD) can present in primary care and specialty settings. Molina’s g...
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Anxiety Disorders: Identification and Intervention
People with anxiety disorders are three to five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatr...
