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Quality Improvement Program

Molina Healthcare of New York maintains a Quality Department to work with Members and Providers in administering the Molina Quality Improvement Program. You can contact the Molina Quality Department toll free at (877) 872-4716 or fax (844) 879-4471.

The address for mail requests is:

Molina Healthcare of New York, Inc.
Quality Department
5232 Witz Drive
N. Syracuse, NY 13212

This Provider Manual contains excerpts from the Molina Healthcare of New York Quality Improvement Program (QIP). For a complete copy of Molina Healthcare of New York’s QIP you can contact your Provider Services Representative or call the telephone number above to receive a written copy.

Molina has established a Quality Improvement Program that complies with regulatory and accreditation guidelines. The QIP provides structure and outlines specific activities designed to improve the care, service and health of our Members.

Molina does not delegate Quality Improvement activities to Medical Groups/IPAs. However, Molina requires contracted Medical Groups/IPAs to comply with the following core elements and standards of care and to:

  • Have a Quality Improvement Program in place;
  • Comply with and participate in Molina’s Quality Improvement Program including reporting of Access and Availability and provision of medical records as part of the HEDIS® review process; and
  • Allow access to Molina Quality personnel for site and medical record review processes.


 

For more information about the Molina Quality Improvement Program, please review the Provider Manual.

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