Providing quality care to our members is important, therefore, Molina Healthcare has established standards for medical record documentation to help ensure the highest quality of care. Medical record ...
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 according to stat...
November 14, 2024
QTT Provider Credentialing
Molina Healthcare of Wisconsin, Inc. and My Choice Wisconsin by Molina Healthcare of Wisconsin are excited to expand our offerings for Qualified Treatment...
​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...
May 14, 2024
Reminder that balance billing is not allowed
Molina Healthcare of Wisconsin, Inc. (Molina) reminds providers that they are prohibited from balance billing members for covered services ot...
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 acc...
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Utilization Management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.C...
Can I submit COB claims electronically?
Yes, Molina and our connected Clearinghouses fully support electronic COB.
Do I need to submit a certain volume of claims to send EDI?
No, any number of claims...
