The guidelines below were reviewed and adopted by the Molina Healthcare National Quality Improvement. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed monthly by th...
Healthmap Solutions for Chronic Kidney Disease (CKD)
Healthmap Solutions (Healthmap) is the approved vendor for our Kidney Health Management (KHM) program, which improves care and outcomes for eligibl...
Prescription Drugs & Medication
Molina Healthcare covers all medically necessary Medicaid-covered medications. We also use a preferred drug list (PDL). These are the drugs that we prefer our provider...
The Provider Bulletin publication is Molina Healthcare of California's (MHC) primary communication method with our Provider/Practitioner community.
Information types include:
...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
