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Health Promotion
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 cessation...
/providers/tx/marketplace/resource/health_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/tx/marketplace/resource/coordination_mgt.aspx
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Behavioral Health Provider Toolkit
Table of Contents/Topics Contacting Molina Depression Screening and Follow-up Suicidal Ideation: Assessment and Intervention Anxiety Disorders: Identification and Intervention ...
/providers/tx/marketplace/resource/bh_toolkit.aspx
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Bh_Toolkit_Schizophrenia_Disorders
Back Assessment and Intervention: Schizophrenia and Psychotic Disorders Schizophrenia is a chronic, disabling brain disorder that affects more than one percent of the population. Your patient’s level ...
/providers/tx/marketplace/resource/bh_toolkit_schizophrenia_disorders.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/tx/duals/hipaa/codesets.aspx
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Fraud Prevention Tips
Molina Healthcare of Texas 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 authorities...
/providers/tx/duals/policies/fraud.aspx
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Policies
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. MolinaClinicalPolicy.com includes the Molina-wide Clinica...
/providers/tx/duals/policies/policies.aspx
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Credentialing & Patient Safety
CredentialingMolina 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 acco...
/providers/tx/duals/policies/safety.aspx
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Fraud Prevention Tips
Molina Healthcare of New Mexico ("Molina") 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 s...
/providers/nm/marketplace/policies/fraud.aspx
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Case Management
Molina Healthcare staff will help coordinate your care Living with health problems and managing them can be hard. We offer special services and programs for members who need extra help with a health p...
/providers/sc/duals/resource/casemngt.aspx
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