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...
Your right to use advance directives (such as a living will or a power of attorney)
You have the right to ask someone such as a family member or friend to help you with decisions about your health car...
Participation Guidelines and Standards of Care
Provider Guidelines:
All Participating Providers are expected to:
Perform duties in their area of specialty.
Provide preventive care services, i...
Molina Healthcare 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 in th...
If you have a complaint, we encourage you to first call Member Services. We will try to resolve any complaint that you might have over the phone. If you request a written response to your phone compla...
As a Molina Medicare member, you have certain rights and responsibilities. Molina Medicare has listed them below. Understanding your rights and responsibilities will assist your effort to work wit...
Q. What is a drug formulary (list of drugs)?A.Do you ever worry about how much your prescription drug will cost? Did you know that Molina Healthcare has a list of drugs that it pays for? This is calle...
Fraud, Waste & AbuseMolina Healthcare’s Fraud, Waste and Abuse Plan benefits Molina, its employees, members, providers, payors and regulators by increasing efficiency, reducing waste, and improving th...
If you or your doctor believes that the usual 30 day timeframe for appeals will cause harm to your health, or affect your normal body functions, your appeal may be expedited (urgent). You, your Provid...
