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Sitecore Site Collection
Payment Integrity Policies
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/providers/sc/medicaid/policies/payment.aspx
Sitecore Site Collection
Molina Clinical Policies
Molina Clinical Policies Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations, which are available at www.mo...
/providers/common/Policies/MolinaClinicalPolicies.aspx
Sitecore Site Collection
Frequently Used Forms
  Changes to Prior Authorization Requirements Effective 1/1/2025   ACT Form   Adult BH HCBS: Prior/Continuing A...
/providers/ny/medicaid/forms/fuf.aspx
Sitecore Site Collection
Contact Us
Molina Healthcare of Idaho 7050 Union Park Center, Suite 200 Midvale, Utah 84047 Business Hours: 8 a.m. to ...
/providers/id/duals/contacts/contactus.aspx
Sitecore Site Collection
Molina Healthcare of Virginia Medicare Provider Communications
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/providers/common/medicare/virginiacomm.aspx
Sitecore Site Collection
Prior Authorizations
 Medicaid/CHIP Prior Authorization Guide  Medicaid/CHIP Prior Authorization Annual Review Change Log  Medicaid/CHIP Prior Authorization Annual Review Report  Prior Authorization Assistance - Molina Im...
/providers/tx/medicaid/forms/PA.aspx
Sitecore Site Collection
Contact Us
For questions about any of the following areas, please select the appropriate link: Submitting Electronic: Claims, Referral Certification and Authorization 1-866-409-2935 Email Directly: EDI.Claims@Mo...
/providers/fl/medicaid/ediera/edi/contact.aspx
Sitecore Site Collection
Other Resources & Policies
We’re committed to offering our Senior Whole Health members access to quality providers in their communities, and we want you to join us! .bullet_list li{ display: list-item; list-style-t...
/providers/ma/swh/resources/work-with-us.aspx
Sitecore Site Collection
Payment Integrity Policies
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/providers/tx/medicaid/policies/payment.aspx
Sitecore Site Collection
Submitting EDI Transactions
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...
/providers/id/duals/ediera/edi/editrans.aspx
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