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ERA/EFT
We use cookies on our website. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Select Your Language Select Your State Submit Please select one of the sta...
/providers/tx/medicaid/ediera/era.aspx
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HIPAA Security
aHIPAA Security Standards for the Protection of Electronic Protected Health InformationThe Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
/providers/tx/medicaid/hipaa/security.aspx
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HIPAA Transactions
HIPAA Standards for Electronic Healthcare TransactionsHIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered e...
/providers/tx/medicaid/hipaa/tcs.aspx
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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/medicaid/hipaa/tcs_readiness.aspx
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Molina Healthcare of Texas Clinical Policies
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. MolinaClinicalPolicy.com includes the Molina-wide Clinica...
/providers/tx/medicaid/policies/tx_policies.aspx
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Healthcare Services
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
/providers/tx/medicaid/resource/services.aspx
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Maternity Programs
motherhood matterssm Pregnancy Management Program Although pregnancy itself is not considered a disease state, a significant percentage of pregnant females on Medicaid are found to be at moderate to h...
/providers/tx/medicaid/resource/casemanage_pregnancy.aspx
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Utilization Management
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
/providers/tx/medicaid/resource/services_Utiliz.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/marketplace/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/tx/marketplace/hipaa/codesets.aspx