Welcome to Molina Healthcare of Ohio! We are glad you made the decision to become a part of our network!
The Molina Dual Options MyCare Ohio Provider Manual was created to give providers and practitio...
Molina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively and efficiently.
UM Decision Making
Molina follows a h...
Click here to view Provider Manual
Dear Provider:
I would like to extend a personal welcome to Molina Healthcare of New York, Inc. Enclosed is your Molina Healthcare Provider Manual, written specifica...
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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...
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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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
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For all your Non-Emergent Medical Transportation (NEMT) needs, please contact MTM at (844) 879-7341 (TTY/TDD: 711) or call Member Services at (833)...
