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Community Supports (CS)
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...
/members/ca/mem/medicaid/medical/coverd/CalAIM/cs.aspx
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Welcome to Molina Healthcare of South Carolina
Molina has provided the best healthcare quality and affordability in South Carolina for more than 30 years. See what sets us apart.
/members/sc/pages/home.aspx
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Molina Healthcare Providers - What is Heart failure?
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...
/providers/tx/medicaid/resource/dis/heart_detail.aspx
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Provider Bill of Rights
Provider Bill of Rights 1.1 Provider is assured of the following rights:    a. A healthcare professional, acting within the lawful scope of practice, ...
/providers/sc/medicaid/policies/memrights.aspx
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quality_hedis
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...
/providers/sc/medicaid/resource/quality_hedis.aspx
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HIPAA Resource Center
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 ...
/providers/sc/medicaid/Copy-of-hipaa/home.aspx
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Unique Identifiers
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...
/providers/sc/medicaid/Copy-of-hipaa/npi.aspx
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HIPAA Security
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...
/providers/sc/medicaid/Copy-of-hipaa/security.aspx
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Fraud Prevention Tips
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...
/providers/sc/marketplace/policies/fraud.aspx
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Access and Availability
​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 ...
/providers/ms/chip/resource/access_avail.aspx