Molina Healthcare members have certain rights to help protect them. Providers and health care facilities should recognize member’s rights while they are receiving medical care, and members should also...
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Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
At Molina Healthcare, we value you as a provider in our network. That’s why we work hard to provide you with the resources you need to help care for our members. If you have any questions, please call...
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
Molina maintains access to care standards and processes forongoing monitoring of access to health care (including behavioral health care)provided by contracted primary PCPs (adult and pediatric) and ...
Thank you for your interest in joining Molina Healthcare of Michigan's provider network. Currently, we provide coverage to Medicaid, Medicare (DSNP and Medicare Advantage Prescription Drug plan), MI H...