Credentialing
The Ohio Department of Medicaid (ODM) is responsible for credentialing all Medicaid managed care providers. The credentialing and recredentialing processes are paired with enrollment a...
Your Provider Network Management team has developed a streamlined Provider Education Series for 2024. Thanks to input from you, our provider partners, we’ve consolidated our sessions to better fit int...
COVID-19 (Coronavirus) Response
Updated April 11, 2023
The COVID-19 pandemic is into its third year, and looks very different than it did in 2020.
Molina Healthcare of Illinois would like to share r...
Page Content
Long term services and supports are Medi-Cal benefits that help members with ongoing personal care needs. Molina Dual Options will work with the member's doctors and long term services ...
Your Provider Relations team looks forward to seeing you at our webinars throughout the year. Our sessions are live, one hour or less, and open to all Illinois providers and staff. All times listed ar...
Your Provider Relations team looks forward to seeing you at our webinars throughout the year. Our sessions are live, one hour or less, and open to all Illinois providers and staff. All times listed ar...
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Utilization Management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.C...
Molina’s UM Department is designed to provide comprehensive health care management by managing utilization services and benefits effectively and efficiently.
UM Decision Making
Molina follows a hierar...
