Medical Necessity Criteria
Information sources used to determine benefit coverage and medical necessity include AHCCCS state coverage policies (AMPM/ACOM), MCG, Molina proprietary guidelines, national...
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Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can tak...
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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
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For all your Non-Emergent Medical Transportation (NEMT) needs, please contact MTM at (844) 879-7341 (TTY/TDD: 711) or call Member Services at (833)...
Passport by Molina Healthcare
5100 Commerce Crossings Drive
Louisville, KY 40229
Downloadable Important Contact Information Quick Reference Guide
Meet the Pro...
The (UM) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. Participating Providers are encouraged to interact with Passport’s UM Department e...
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