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Provider Manual

Molina Healthcare of Washington (MHW) strongly values our relationship with you and welcomes you to our Molina Family and our network of providers.

This manual provides information about how to work with MHW and describes how we work together as you care for our member’s health care needs. The provider manual also contains policies, procedures, regulatory/contractual requirements to support you in providing comprehensive care to our members and understanding our programs and processes. The information contained in the manual is current as of the date of its publication. We update our provider manual from time to time as our policies and/or regulatory requirements change. As always, you may contact MHW at (800) 869-7165 or your regional Provider Service Representative if you have questions about the manual or about MHW in general. We value your participation.

 

​Molina Provider Manual

The files below are in PDF format ( icon PDF )

 
2018

 

details2018 Archive

details2017 Archive

Section 1 - Addresses and Phone Numbers
Section 2 - Enrollment, Eligibility and Disenrollment
Section 3 - Member Rights and Responsibilities
Section 4 - Benefits and Covered Services
Section 5 - Provider Responsibilities
Section 6 - Medical Management
Section 7 - Quality Improvement
Section 8 - Claims
Section 9 - Hospitals
Section 10 - Credentialing and Recredentialing
Section 11 - Grievances and Appeals
Section 12 - Compliance and Oversight Monitoring
Section 13 – FQHC-RHC
Section 14 - Medical Group - IPA Operations
Benefit Index Apple Health 2017
Benefit Index Apple Health Fully Integrated Managed Care (FIMC) and Behavioral Health Service Only (BHSO) 2017
Benefit Index Apple Health 2017 Eff October 2017
Benefit Index Apple Health Fully Integrated Managed Care (FIMC) and Behavioral Health Service Only (BHSO) 2017 Eff October 2017
​Quick Reference Guide
Sample Member ID Cards

detailsArchive

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