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Click here to view Provider Manual
Dear Provider:
I would like to extend a personal welcome to Molina Healthcare of New York, Inc. Enclosed is your Molina Healthcare Provider Manual, written specifica...
Participation Guidelines and Standards of Care
Provider Guidelines:
All Participating Providers are expected to:
Perform duties in their area of specialty.
Provide preventive care services, i...
The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
Molina Healthcare members have certain rights to help protect them. Providers and healthcare facilities should recognize member's rights while they are receiving medical care, and members should also ...
Credentialing
Molina 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 ac...