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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/ca/medicaid/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/ca/medicaid/hipaa/codesets.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/ca/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/ca/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/ca/medicaid/hipaa/tcs_readiness.aspx
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Fraud Prevention Tips
Molina Healthcare of California ("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 feder...
/providers/ca/medicaid/policies/fraud.aspx
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guide_prevent
Page ContentPreventive Care Guidelines can be beneficial to the provider and his/her patients. All practice guidelines are based on scientific evidence, review of the medical literature, or appro...
/providers/ca/medicaid/Copy-resource/guide_prevent.aspx
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Clinical Practice Guidelines
Page ContentAll clinical practice guidelines are based on scientific evidence, review of the medical literature, or appropriately established authority, as cited. All recommendations are based on...
/providers/ca/medicaid/Copy-resource/guide_clinical.aspx
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COVID-19 (Coronavirus)
Page Content Updated May, 2020 Molina is monitoring COVID-19 developments daily. Our Corporate Chief Medical Officer (CMO) is working closely with our health plan CMOs to ensure we are prepared to...
/providers/oh/medicaid/comm/Copy-of-YouMattertoMolina.aspx
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Medicaid Next Generation
Page Content The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) have been implemented. With the launch of the new EDI and FI, there ar...
/providers/oh/medicaid/comm/nextgen.aspx