Clinical practice guidelines are documents which seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence,...
Avēsis administers MississippiCAN and CHIP Dental benefits for Molina Healthcare of Mississippi.
Dental Claims
Please note that when submitting a dental claim to Avēsis, via the provider portal, clea...
Medical Necessity Criteria
Information sources used to determine benefit coverage and medical necessity include AHCCCS state coverage policies (AMPM/ACOM), MCG, Molina proprietary guidelines, national...
You can find answers to your questions below! Also, check out our glossary to look up any words that may be confusing. Don’t see your question? Just give us a call!
T...
HIPAA Security Standards for the Protection of Electronic Protected Health Information
The Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
HIPAA Standards for Electronic Health Care Transactions
HIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic health care transactions. All cover...
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...
Appeals
Grievance Consent Form
Provider Appeal Form
Behavioral Health
Behavioral Health Prior Authorization Form
Combined MCE Behavioral Health Provider Primary Care Provider Communication For...
Thank you for your interest in joining Molina Healthcare of Michigan's provider network. Currently, we provide coverage to Medicaid, Medicare (DSNP and Medicare Advantage Prescription Drug plan), MI H...
