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...
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...
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...
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...
Molina Healthcare of Texas 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 authorities...
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...
Molina Healthcare of New Mexico periodically publishes the Partners in Care newsletter. Targeted to you, our valued physicians, this publication offers in-depth information on Molina's programs and se...
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The files below are in PDF format ()
New Mexico Uniform Prior Authorization Form
Provider Information Form
Member Authorization to R...
Molina Healthcare of New Mexico ("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 s...