Ancillary, Specialty & Hospital Providers

The Molina Healthcare of California Provider Manuals were created to give Providers/Practitioners convenient and in-depth information for each of our programs. The manuals are divided into sections, each of which details a component of care.

The files below are in PDF format ( )


Appeals and Grievances/Complaints
Benefits and Covered Services
Claims and Encounter Data
Compliance
Contacts
Credentialing
Definition of Terms
Eligibility, Enrollment and Disenrollment
Medical Management
Member Rights and Responsibilities
Pharmacy/Formulary
Quality Improvement

 

Click for current frequently used provider forms.

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