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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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Pediatric Vision Coverage | Molina Healthcare Ohio
Molina provides pediatric vision services to members under the age of 19. Pediatric Vision Services (for Members under age 19 only) ...
/members/oh/hp/marketplace/services/pediatric-vision.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
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Provider Bulletin
a​The Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures. Provider Bulletins Going Green – We’...
/providers/oh/duals/comm/bulletin.aspx
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Fraud Prevention Tips
Molina Healthcare of Ohio 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 au...
/providers/oh/medicaid/policies/fraud.aspx
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Contact Us
Molina Healthcare of Ohio P.O. Box 34234-9020 Columbus, OH 43234-9020 Business Hours Medicaid: 7 a.m. to 8 ...
/providers/oh/duals/contacts/contactus.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/oh/duals/hipaa/codesets.aspx
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Provider Resource Guide
Welcome to Molina Healthcare of Ohio; we are glad you made the decision to become a part of our network!Provider Services Department Address: P.O.Box 349020Columbus, Ohio 43234 Phone: (855) 322-4079 P...
/providers/oh/duals/resource/resource_guide.aspx
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Quick Reference Guides & FAQs
Patient Driven Payment Model FAQ Home Health Patient Drive Groupings Model FAQ MyCare Ohio and Medicare Authorization and Claim Reconsideration Guide Americans with Disabilities Act (ADA) FAQ Me...
/providers/oh/marketplace/manual/Quick-Reference-Guides-FAQs.aspx