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UT Code/Benefit Exceptions
ST: Traditional Medicaid: After initial evaluation plus six (6) visits for office and outpatient settings. Prior authorization approval required for therapy visits beyond the stated limits. ...
/providers/ut/medicaid/forms/benefit-exceptions.aspx
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HIPAA 5010 Readiness
aMolina Healthcare’s HIPAA 5010 Readiness *Molina Healthcare is ready to test the 5010 versions of the HIPAA transactions with providers and other trading partners.  We look forward to working collabo...
/providers/sc/duals/hipaa/5010Readiness.aspx
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HIPAA Code Sets
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...
/providers/sc/duals/hipaa/codesets.aspx
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Provider Bulletins
July 1, 2024   Molina/My Choice Medicaid SSI/BadgerCare Plus Integration Goes Live Today Exciting news! Today, we made a giant leap forward in the continuing integration of two great comp...
/providers/wi/medicaid/comm/2024ProvBull_7-1MCWGoLive.aspx
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Provider Bulletins
March 12, 2024 Molina now serves Adams, Green, Iowa, Richland, and Rock counties Exciting news! Molina Healthcare of Wisconsin is now offering Medicaid SSI/BadgerCare Plus coverage to patients in the...
/providers/wi/medicaid/comm/2024ProvBulletin312Expansion.aspx
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Provider Bulletins
May 29, 2024 Periscope clinical assessments   NOTE: The following information is for Personal Care Workers (PCW) and Durable Medical Equipment (DME) providers only.   Background: As part of Molina He...
/providers/wi/medicaid/comm/2024ProvBull_5-29_Periscope.aspx
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Provider Bulletins
February 12, 2024   Interpreter Resources for Molina Providers & Members   Did you know that 1 in 5 people in the United States speak a language other than English at home? Molina offers interpreter ...
/providers/wi/medicaid/comm/2024ProvBulletin2-12AccesstoInterpreters.aspx
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MCWIntegration
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 ...
/providers/wi/medicaid/comm/My-Choice-Integration-Updates.aspx
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Provider Bulletins
September 12, 2024 Medicare Contract Consolidation   As part of the ongoing Molina Healthcare of Wisconsin, Inc. and My Choice Wisconsin by Molina Healthcare integration, effective January 1, 2025, t...
/providers/wi/medicaid/comm/2024ProvBull_9-12_Medicare-Contract-Consolidation.aspx
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Provider Bulletins
May 30, 2024 Molina/My Choice Wisconsin Integration Update for May 2024   Current Integration Status: ON TRACK With 30 days remaining until MCW Medicaid SSI and BC+ members become part of Molina, we ...
/providers/wi/medicaid/comm/2024ProvBull_5-30_MCW_Updates_May.aspx
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