What is Healthy Connections Prime?It's a program to provide better, coordinated health care for people with both Medicare and Medicaid, often called dual eligible or duals. Plans that participate in H...
All clinical practice guidelines are based on scientific evidence, review of the medical
literature, or appropriately established authority, as cited. All recommendations are
based on published conse...
Molina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively and efficiently.
UM Decision Making
Molina follows a h...
Appeals
If you receive a denial letter and do not like the choice we made, you can file an appeal. An appeal is a request to review an action or denial. An action is any denial that is:
Limited
...
Q. How do I get medical services?
A. You should get all health care from Molina Healthcare providers. Your Provider Directory lists all the providers that are part of the plan. If you need a printed ...
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Your right to use advance directives (such as a living will or a power of attorney)
You have the right to ask someone such as a family member or friend to help you with decisions about your health car...
We want to give you good careMolina Healthcare works with our providers to give you good health care. We look at your member benefits and make choices about care based on what you need. We want you to...
Molina Healthcare of Idaho ("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 state ...
