Member Rights and Responsibilities
Apple Health (AH) and Integrated Managed Care (IMC) Member Rights
Help make decisions about your health care, including mental health and substance use disord...
The Arizona Health Care Cost Containment System (AHCCCS) is the name of Arizona’s Medicaid agency. AHCCCS Complete Care (ACC) is Arizona’s integrated Medicaid program that combines physical and behav...
We encourage you to let us know right away if you have questions, concerns, or problems related to your covered services or the care you receive. Please call Member Services
See Chapter 9 of the EOC* ...
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 ...
Molina Healthcare has implemented the HIPAA NPI requirements. Beginning May 23, 2008, HIPAA standard transactions must include NPIs. No legacy identifiers (other than the billing/pay-to provider's Ta...
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...
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 thei...
The Molina Healthcare QI Program encompasses the quality of acute, chronic and preventive health care and service provided in both the inpatient and outpatient setting to our population as determined ...
QIP objectives direct personnel, activities, and resources to achieve Program goals. Written objectives address:Activities planned, Methodologies, Persons responsible, and Time frames for meeting eac...
Organizational Structure Supporting Quality Improvement: AccountabilityThe Board of DirectorsMolina Healthcare of Michigan's Board has ultimate authority and responsibility for the quality of care an...