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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/fl/medicaid/hipaa/tcs_readiness.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/fl/medicaid/hipaa/hipaa.aspx
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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/fl/medicaid/hipaa/5010Readiness.aspx
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Communications Home
Access news and our Molina orientation training deck any time by visiting Resources & Communications. Please call Provider Services at (855) 322-4076 to schedule a one-on-one training for your organiz...
/providers/fl/medicaid/comm/home.aspx
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Medication Prior Authorization Criteria and Clinical Policies
AAT Deficiency (Aralast NP, Glassia, Prolastin, Zemaira) MCP-042 Abelecet (ampho B, lipid complex) C10144-A Abilify MyCite Kit (aripiprazole with biosensor) C15913-A Actemra (tocilizumab) C10265-A Ac...
/providers/common/marketplace/prior-authorization-forms.aspx
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EDI
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/providers/common/marketplace/ediera/edi.aspx
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ERA/EFT
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/providers/common/marketplace/ediera/era.aspx
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EDI ERA/EFT
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/providers/common/marketplace/ediera/Copy-of-ediera.aspx
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Prior Authorization Guide
The Marketplace Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care service and the supporting document...
/providers/common/marketplace/resource/Prior-Authorization-Guide.aspx
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Preventive Health Guidelines
  Preventive health guidelines can be beneficial to the provider and his/her patients. Guidelines are based on scientific evidence, review of the medical literature, or appropriately established auth...
/providers/common/marketplace/resource/hlthguide.aspx