The Healthcare Services (formerly Utilization Management) Department conducts inpatient review on inpatient cases and processes Prior Authorizations/Service Requests. The Healthcare Services (HCS) Dep...
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 maintains access to care standards and processes for ongoing monitoring of access to health care (including behavioral health care) provided by contracted primary PCPs (adult and pediatric) and...
aWelcome to Molina Healthcare of Mississippi!As you may be aware, Molina Healthcare of Mississippi will acquire the Medicaid contract for Integral Quality Care (Integral) effective November 1, 2015. A...
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...
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, no...
COVID-19 (Coronavirus) Response
Updated April 16th, 2020
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Prior...
Preventive health guidelines can be beneficial to the provider and his/her patients. Guidelines are based on scientific evidence, review of the medical literature, or appropriately established authori...
