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Quality Improvement
Integrated Case Management   Page Content Care Coordination As medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a chal...
/providers/mi/marketplace/resource/icm.aspx
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Molina Healthcare of Michigan Provider Contract Request Form
Thank you for your interest in becoming a Molina Healthcare of Michigan Provider. To ensure the proper contract and credentialing packet is generated; please complete this contract request form.  (M...
/providers/mi/marketplace/forms/crf.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/mi/medicaid/hipaa/codesets.aspx
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Fraud Prevention Tips
Molina Healthcare of Ohio seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of federal and state au...
/providers/oh/marketplace/Copy-of-policies/fraud.aspx
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Credentialing & Patient Safety
Credentialing Molina Healthcare has a duty to protect its members by assuring the care they receive is of the highest quality. One protection is assurance that our providers have been credentialed acc...
/providers/oh/marketplace/Copy-of-policies/safety.aspx
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Provider Bulletin
a​The Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures. Provider Bulletins Going Green – We’...
/providers/oh/marketplace/Copy-of-comm/bulletin.aspx
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Provider Services
Contact Information:Molina has designated email addresses based on provider types to help get your questions answered more efficiently or to connect you to training opportunities.Behavioral Health que...
/providers/oh/marketplace/Copy-of-contacts/Provider-Services.aspx
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Frequently Used Forms
Please click on a form below to view a PDF printable version. The files below are in PDF format ()   Claims Corrected Claim Billing Guide All State Molina Information Request for Claim Reconsidera...
/providers/oh/marketplace/forms/fuf.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/oh/marketplace/hipaa/codesets.aspx
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Member Rights and Responsibilities
  To find the Member Rights and Responsibilities, please click here.   Your Membership Rights As a member of Molina Healthcare, you have the following rights: To receive all the services t...
/providers/oh/marketplace/policies/rights.aspx
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