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Preventive Care Guidelines 20-39
Screening/ImmunizationFrequencyHeight and Weight, BMIPeriodic ScreeningBlood PressureAt least every 2 years8Pap TestAt least every 3 years12Total Cholesterol Screening(men beginning at age 35, women a...
/providers/ut/medicaid/resource/prevent_04.aspx
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Preventive Care Guidelines 12-19
Screening/ImmunizationFrequencyHeight, weight, BMI, blood pressurePeriodicScreeningVision, objective by standard testing methodAt 12, 15 and 18 years.Vision, subjective by historyAt 13, 14, 16, 17 and...
/providers/ut/medicaid/resource/prevent_03.aspx
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Preventive Care Guidelines 3-11
Molina Healthcare of Utah operates under an accelerated immunization schedule. In accordance to the Recommended Childhood and Adolescent Immunization Schedule from CDC, an accelerated schedule has bee...
/providers/ut/medicaid/resource/prevent_02.aspx
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Pregnancy
Screening/ImmunizationFrequencyWeightDiscuss with patientBlood PressureInitial visit, and all follow-up visitsHematocritFirst visitUrine culture or urinalysis for bacteuriaFirst visit2Hepatitis B surf...
/providers/ut/medicaid/resource/prevent_07.aspx
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HIPAA Code Sets
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
/providers/ut/medicaid/hipaa/codesets.aspx
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HIPAA Code Sets
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
/providers/ms/medicaid/hipaa/codesets.aspx
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Provider News
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...
/providers/ms/medicaid/comm/archivedcomm.aspx
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Avesis Dental
Molina Dental Services partners with SKYGEN, USA to administer MississippiCAN and CHIP Dental benefits for Molina Healthcare of Mississippi. Dental Claims Please note that when submitting a dental cl...
/providers/ms/medicaid/resource/dental.aspx
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Utilization Management
The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
/providers/ms/medicaid/resource/utilized_mgt.aspx
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Coordination of Care
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...
/providers/ms/medicaid/resource/coordination_mgt.aspx