Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
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...
Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
Your right to use advance directives (such as a living will or a power of attorney)
You have the right to ask someone such as a family member or friend to help you with decisions about your health car...
Are you having problems with your medical care or our services? If so, you have a right to file a grievance or appeal.
A grievance can be filed when you are unhappy with your care. Some exa...
External Review by the Office of Financial and Insurance RegulationYou can ask for an external review if you do not get an answer within 30 days from Molina Healthcare or you are not happy with the re...
Ya no tendrá que llevar su tarjeta de identificación de Medicare y su información de Medicaid para probar su elegibilidad cuando reciba servicios médicos. A partir de ahora, una sola tarjeta contendrá...
You will no longer need to carry both your Medicare ID card and your Medicaid information when getting medical services. Now all the information you need to show you qualify for benefits will be on ju...
May 14, 2024
Reminder that balance billing is not allowed
Molina Healthcare of Wisconsin, Inc. (Molina) reminds providers that they are prohibited from balance billing members for covered services ot...
