Molina Healthcare provides a comprehensive Care Management (CM) program to all Members who meet the criteria for services. The CM program focuses on procuring and coordinating the care, services, and ...
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...
Molina Healthcare's Health Education programs will be incorporated into the Member's treatment plan to address the Member's health care needs. Primary prevention programs may include smoking cessatio...
Clinical practice guidelines are documents which seeks to guide decisions about the diagnosis and treatment of certain health conditions. Clinical practice guidelines are based on scientific evidence,...
Qué está cubiertoEl programa ¡Salud! cubre todos los servicios necesarios desde un punto de vista médico que se ofrecen. Que un servicio sea necesario desde un punto de vista médico significa que es n...
What's coveredSalud! covers all medically necessary services that are offered. Medically necessary means that a service is needed to prevent, diagnose or treat a medical condition. Your primary care ...
El personal de Molina Healthcare lo ayudará a coordinar su atenciónConvivir con problemas de salud y mantenerlos bajo control puede ser difícil. Ofrecemos servicios y programas especiales a los miembr...
Molina Healthcare staff will help coordinate your careLiving with health problems and managing them can be hard. We offer special services and programs for members who need extra help with a health pr...
¿Qué está cubierto?Si está embarazada y es elegible para Medicaid, tiene la opción de elegir al profesional que la atenderá. También puede elegir dónde nacerá su bebé. Las mujeres en Nuevo México pued...
