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The Next Generation managed care plans, new Electronic Data Interchange (EDI) module, and Fiscal Intermediary (FI) have been implemented. With the launch of the new EDI and FI, there ar...
aThe Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures. Provider Bulletins Going Green – We’...
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
Welcome to Molina Healthcare of Ohio; we are glad you made the decision to become a part of our network!Provider Services Department Address: P.O.Box 349020Columbus, Ohio 43234 Phone: (855) 322-4079 P...
Patient Driven Payment Model FAQ
Home Health Patient Drive Groupings Model FAQ
MyCare Ohio and Medicare Authorization and Claim Reconsideration Guide
Americans with Disabilities Act (ADA) FAQ
Me...
For questions about any of the following areas, please select the appropriate link:Submitting Electronic: Claims, Referral Certification and Authorization1-866-409-2935Email Directly: EDI.Claims@Molin...
Molina Healthcare
Molina Healthcare (Molina) is a health plan, or managed care organization. We give access to both behavioral and physical health services.
We help members who are eligible for Medica...
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
...
