IntroductionMolina Healthcare of Michigan serves Michigan members in counties throughout Michigan. Molina Healthcare of Michigan has served Medicaid patients since 2000. For all plan members, Molina H...
Molina Healthcare of Michigan ("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 federal and sta...
We invite you to come join us to learn about: Billing and Payment Molina’s interactive Provider Web-Portal Medical Management and Prior Authorization Coordination of Care Additional helpful topicsOur ...
COVID-19 (Coronavirus) Response
Updated April 16th, 2020
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Prior...
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Prior Authorization
Medical Benefit (HCPCS/J-Code) Drug Prior Authorization Request Form
Synagis Prior Authorization form 2020-20...
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...
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...
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...
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...
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...
