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 ...
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...
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Avēsis administers MississippiCAN and CHIP Dental benefits for Molina Healthcare of Mississippi.
Dental Claims
Please note that when submitting a dental claim to Avēsis, via the provider portal, clea...
Medical Necessity Criteria
Information sources used to determine benefit coverage and medical necessity include AHCCCS state coverage policies (AMPM/ACOM), MCG, Molina proprietary guidelines, national...
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Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can tak...
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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
