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Utilization Management
The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
/providers/ms/medicaid/resource/utilized_mgt.aspx
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Training & Resources
Training​​​  Web portal OverviewRural Health ClinicResources  Claim Denials and Rejections Billing TipsNonparticipating Provider Fact SheetPaper Claims Billing TipsRural Health Clinic Billing GuideHel...
/providers/ms/chip/comm/training.aspx
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Provider News
Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
/providers/ms/chip/comm/archivedcomm.aspx
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Single Pharmacy Benefit Administrator (SPBA)
  Beginning July 1, 2024, a Single Pharmacy Benefit Administrator (SPBA) will begin providing pharmacy services for all health plans for Medicaid and CHIP beneficiaries. Gainwell will be responsible f...
/providers/ms/medicaid/drug/formulary.aspx
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News
Provider News Archives Year: ...
/providers/ms/medicaid/comm/news.aspx
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Contact Us
Molina Healthcare of Mississippi, Inc. ...
/providers/ms/chip/contacts/contact_info.aspx
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Contact Us
Contact Information Molina Healthcare of Mississippi, Inc. 1020 Highland Colony Parkway Suite 602 Ridgeland, MS 39157   ...
/providers/ms/marketplace/contacts/contactus.aspx
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Prior Authorization Request Procedure
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/providers/ms/chip/drug/authorization.aspx
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Preferred Drug List
aPlease familiarize yourself with the Preferred Drug List as you prescribe medications for Molina Healthcare beneficiaries. Thank you for your cooperation.Molina Healthcare Preferred Drug List (PDL)Pr...
/providers/ms/chip/drug/formulary.aspx
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Frequently Used Forms
Frequently Used Forms Provider Contracting and Credentialing   Provider Information Update Form   Practitioner Enrollment Application ...
/providers/ms/chip/forms/fuf.aspx
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