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...
The guidelines below were reviewed and adopted by the Molina Healthcare National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed mon...
These selected Applicants must successfully demonstrate that they have met all Ohio Department of Medicaid requirements before they can receive final approval to begin providing services to Medicaid ...
Single Pharmacy Benefit Manager (SPBM)
Beginning October 1, 2022, a Single Pharmacy Benefit Manager (SPBM) will begin providing pharmacy services across all Ohio Medicaid managed care plans and m...
Our HIPAA resource center includes the following important information for health care providers:Molina Healthcare's HIPAA readiness status and implementation materials; Information on how to conduct ...