What are Community Supports?
Community Supports (CS) are services or settings that may be offered in place of other covered services or settings. They are a medically appropriate, cost-effective alter...
Did you renew your benefits? Keep your family covered! The redetermination process is a yearly requirement that allows you to renew your Medicaid benefits. It is important to complete this process E...
Molina Healthcare uses a Preferred Drug List (PDL) for Medicaid, which is a list of covered prescription drugs that is reviewed, approved and maintained by a team of doctors and pharmacists at the Sta...
Resultados de HEDIS® de Medicare (Conjunto de Datos e Información sobre la Efectividad de la Atención Médica)
Los puntajes de Molina durante los últimos dos años se muestran a continuación. Puede ver ...
Medicare HEDIS® (Healthcare Effectiveness Data and Information Set) Results
Molina’s scores for the past two years are below. You can see how Molina performs compared to our target goal.
The HEDIS® r...
Medicare CAHPS® Annual Results.
Medicare CAHPS® (Consumer Assessment of Healthcare Providers and Systems) Results
Molina’s scores for the past two years are below. You can see how Molina performs comp...
Resultados de Medicare CAHPS® (Evaluación del Consumidor de Planes y Sistemas de Atención Médica)
Las puntuaciones de Molina para los últimos dos años se muestran a continuación. Usted puede ver cómo ...
Molina Healthcare Essential Plan Prescription Drug Formulary
Molina uses a Preferred Drug List (Formulary) which is a list of covered prescription and over-the-counter drugs. It is reviewed and approv...
Clinical practice guidelines are designed to guide decisions about diagnosing and treating specific health conditions. These guidelines are based on scientific evidence, medical literature reviews, or...
For medications not listed on the Formulary, providers may follow the same course of action as with a Coverage Determination, also called a Prior Authorization. This can be initiated by having your Pr...