Each year Molina Healthcare sets goals to improve our services to members. Annually we measure member satisfaction using the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS®). Th...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along w...
Centers for Medicare & Medicaid Services (CMS) has provided guidance that State Medicaid agencies resume redetermination activities between February 1 and April 1, 2023.
It is imperative that we help ...
The Molina Healthcare Quality Improvement (QI) Program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, and ...
Page ContentPreventive Care Guidelines can be beneficial to the provider and his/her patients. All practice guidelines are based on scientific evidence, review of the medical literature, or appro...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along wi...
Each year Molina Healthcare sets goals to improve our services to members. Annually we measure member satisfaction using the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS®). Th...
Welcome to Molina Healthcare of South Carolina.
Provider Manual
Provider Orientation
Live Provider Orientation Trainings:
Stay tuned for 2025 provider orientation trainings.
You should have rec...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
