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Frequently Asked Questions
What is Healthy Connections Prime?It's a program to provide better, coordinated health care for people with both Medicare and Medicaid, often called dual eligible or duals. Plans that participate in H...
/members/sc/hp/duals/contactus/frequently-asked-questions.aspx
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Fraud
7500 Categories Close Find helpful resources, plan materials, payment information and more. Enter a query above to search our website. What can we find for you? Showing _START_ to _END_ of about _TOT...
/marketplace/sc/en-us/Members/Quality-Service/fraud.aspx
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About Your Care
We want to give you good care!We work with our providers to give you good health care. We look at your member benefits and make choices about care based on what you need. We want you to know:We do not...
/members/sc/mem/duals/care/abtcare.aspx
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Terms and Privacy
7500 Categories Close Find helpful resources, plan materials, payment information and more. Enter a query above to search our website. What can we find for you? Showing _START_ to _END_ of about _TOT...
/marketplace/sc/en-us/terms_privacy.aspx
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Rights and Responsibilities
To find the Member Rights and Responsibilities, please click here. Provider Bill of Rights 1.1 Provider is assured of the following rights:    a. A healthcare professional, acting within the l...
/providers/sc/medicaid/policies/rights.aspx
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Advance Directives | Medicare
Your right to use advance directives (such as a living will or a power of attorney) You have the right to ask someone such as a family member or friend to help you with decisions about your...
/members/sc/mem/medicare/quality/rights/advdirectives.aspx
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Frequently Used Forms
Click here to view the forms. New Online Authorization Lookup  Home Health PDGM FAQs Molina Dual Options (Medicare) Forms  Notice of Medical Non-Coverage (NOMNC): CORF Services  Notice of Medical No...
/providers/sc/duals/forms/fuf.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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HIPAA 5010 Readiness
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...
/providers/sc/medicaid/Copy-of-hipaa/5010Readiness.aspx
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HIPAA Code Sets
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
/providers/sc/medicaid/Copy-of-hipaa/codesets.aspx
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