Click here to view Provider ManualDear Provider:I would like to extend a personal welcome to Molina Healthcare of Mississippi, Inc. Enclosed is your Molina Healthcare Provider Manual, written specifi...
Continuity of Care and Provider-to-Provider CommunicationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient's care is a challenge...
Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partn...
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Anxiety Disorders: Identification and Intervention
People with anxiety disorders are three to five times more likely to go to the doctor and six times more likely to be hospitalized for psychiatr...
The Marketplace Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care service and the supporting document...
Utilization Management (UM) Program
Page ContentMolina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively an...
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...
Care CoordinationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a challenge. It is not unusual to hear from paitent...
