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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
If you have a complaint, you can call Member Services at (844) 809-8438, Monday thru Friday from 7:30 a.m. to 8:00 p.m. and the second weekend of each month from 8:00 a.m. to 5:00 p.m. For TTY/TTD, yo...
If you have a complaint, you can call Member Services at (844) 809-8438, Monday thru Friday from 7:30 a.m. to 8:00 p.m. and the second weekend of each month from 8:00 a.m. to 5:00 p.m. For TTY/TTD, yo...
Prescription medications are covered when:
Medically necessary
Ordered by your provider who has a contract with Molina Healthcare. Check Find a Provider to see if your provider is contracted ...
The Quality of Care You Receive is Important to Us
Molina wants you and your family to receive the best care. We have a Quality Improvement (QI) Program to ensure you get quality car...
Departamento de Servicios para Miembros
Para obtener más información, o si tiene preguntas sobre la coordinación de la atención, el acceso al directorio del proveedor, las preguntas de facturación o ...
Call Member Services at (800) 424-5891 (TTY/TDD: 711) and ask to be connected to our Employment Administrator, Jezreel Ramirez. You can also email him at Jezreel.Ramirez@MolinaHealthcare.com..
Employ...
Complete your 2025, health screening(s) before December 31, 2025, to receive your gift card. Complete the form(s) below after receiving your services. Follow the instructions on the form(s) to send th...
Si tiene un reclamo, puede llamar o escribir a Servicios para Miembros.
Molina Healthcare of New York, Inc.
Attention: Member Services Department
2900 Exterior Street
Suite 202
Bronx, New York 10463...
