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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/mi/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/mi/medicaid/hipaa/codesets.aspx
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HIPAA
We use cookies on our website. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Select Your Language Select Your State Submit Please select one of the sta...
/providers/mi/medicaid/hipaa/hipaa.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/mi/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/mi/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/mi/medicaid/hipaa/tcs_readiness.aspx
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Fraud Prevention Tips
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 thei...
/providers/mi/medicaid/policies/fraud.aspx
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Scope of Program Activities
The Molina Healthcare QI Program encompasses the quality of acute, chronic and preventive health care and service provided in both the inpatient and outpatient setting to our population as determined ...
/providers/mi/medicaid/resource/qi_scope.aspx
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Glossary
 BHBehavioral Health CAHPSConsumer Assessment of Health Plans EDEmergency Department HCAHealth Care AuthorityHDOHealth Delivery Organization HEDISHealth plan Employer Data and Information Set MDCHMich...
/providers/mi/medicaid/resource/qi_glossary.aspx
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QI Accountability
 Organizational Structure Supporting Quality Improvement: AccountabilityThe Board of DirectorsMolina Healthcare of Michigan's Board has ultimate authority and responsibility for the quality of care an...
/providers/mi/medicaid/resource/qi_account.aspx