Does SWH offer Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)?Yes. Senior Whole Health offers ERA/EFT through Change Healthcare, who has contracted with ECHO Health for these s...
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Electronic Prior Authorization Link
Providers are able to complete prior authorizations online via the following link:
Electronic Prior Authorization Information
Texas Standardized Pr...
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...
Doula Step-by-Step Process
Summary of Doula Services
Effective January 1, 2023, Molina Healthcare of California (MHC) provides doula services for prenatal, perinatal, and postpartum Medi-Cal members....
Preguntas más frecuentes para miembros sobre la vacuna contra el COVID-19
Molina Healthcare of Washington
(Medicaid, Mercado de Seguros Médicos, Medicare)
Actualizado el 24/05/2021
PREGUNTAS
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In September 2023, Molina acquired My Choice Wisconsin. On this page, you’ll find all the information and resources you need as a valued provider partner to help you through this integration process ...
Your drug benefit is provided by Passport by Molina Healthcare and Kentucky Medicaid.
Starting on July 1, 2021, we began working with a pharmacy benefits manager (PBM), MedImpact Healthcare Systems, ...
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, no...
The Molina Healthcare Drug Formulary is a listing of preferred drug products eligible for reimbursement by Molina Healthcare. All medications are listed by generic name. The medications are organized ...
The drug formulary is a list of covered drugs. Molina Healthcare will generally cover any prescription drug listed in our formulary as long as:
The drug is medically necessary.
The prescripti...
