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 that ...
To receive information: The right to receive information about Molina Healthcare, its services, its policies and procedures, practitioners and providers and member rights and responsibilities.
To advo...
Molina Healthcare's Billing and Reimbursement policies have moved to a new page. Please follow the link below for Medicare and Marketplace policies. At the bottom of the linked page, select "Texas Me...
Non-Discrimination
Access to Care Standards
Provider/Member Clinical Dialogue
Provider Change Notification Requirements
Member Information and Marketing
Non-Discrimination
Molina Healthcare exp...
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 Clini...
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...
Case Management
Molina Healthcare provides a comprehensive Case Management (CM) program to all Members who meet the criteria for services. The CM program focuses on procuring and coordinating the care...
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...
