What are Community Supports?
Community Supports (CS) are services or settings that may be offered in place of other covered services or settings. They are a medically appropriate, cost-effective alter...
Congestive Heart Failure > What is Heart failure? All of us lose some blood-pumping ability in our hearts as we age, but heart failure happens when the heart can't keep up with its normal workload. Wh...
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...
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...
HIPAA Security Standards for the Protection of Electronic Protected Health Information
The Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
Molina Healthcare of South Carolina ("Molina") seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members, and supports the efforts of federa...
​Molina maintains access to care standards and processes forongoing monitoring of access to health care (including behavioral health care)provided by contracted primary PCPs (adult and pediatric) and ...