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HIPAA Transaction Readiness
Since HIPAA’s inception, Molina Healthcare has worked diligently and collaboratively with the broader healthcare community to achieve compliance with the federal HIPAA transactions requirements. Molin...
/providers/tx/marketplace/hipaa/tcs_readiness.aspx
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Drug Formulary
Please click on a form below to view a PDF printable version. The files below are in PDF format ()   2020 Marketplace Drug Formulary Provider News Bulletin Provider News Bulletin Prior Authoriza...
/providers/tx/marketplace/drug/formulary.aspx
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Pharmacy Prior Authorization Forms
Please click on a form below to view a PDF printable version.The files below are in PDF format () ADHD Agents Marketplace Prior Authorization Form​Advair Marketplace Prior Authorization Form​Albuterol...
/providers/tx/marketplace/drug/pharmacy-prior-authorization-forms.aspx
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Pharmacy Prior Authorization Form
Texas Standardized Marketplace Prior Authorization Form Texas Standardized Prior Authorization Form Instructions
/providers/tx/marketplace/drug/standardized-prior-authorization-form.aspx
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Fraud Prevention Tips
Molina Healthcare of Texas ("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 federal and state ...
/providers/tx/marketplace/policies/fraud.aspx
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Member Rights and Responsibilities
  To find the Member Rights and Responsibilities, please click here. Your Membership Rights As a member of Molina Healthcare, you have the following rights: To receive all the services that ...
/providers/tx/marketplace/policies/rights.aspx
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Preauthorization Information
Screening Criteria This page contains the Molina internal screening criteria for preauthorization The files below are in PDF format ()   Molina Clinical Review: 3D Interpretation and Reporting of...
/providers/tx/marketplace/policies/Preauthorization_Information.aspx
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Contact Information
Molina Healthcare of Texas 2200 Highway 121, Suite 270A Bedford, TX 76021 Phone Numbers Provider Services (855) 322-4080 mhtxproviderservices@molinahealthcare.com Claims (855) 322-4080 Utilization Man...
/providers/tx/duals/contacts/contactus.aspx
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Drug Formulary
2024 Molina Dual Options STAR+PLUS MMP Drug Formulary Additional Pharmacy Benefit Information  2024 Prior Authorization Grid  2024 Step Therapy Grid  2024 Medicare Part D Drug (J-Code) Step Therapy G...
/providers/tx/duals/drug/formulary.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/tx/duals/hipaa/5010Readiness.aspx
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