Provider Manual

Welcome to Molina Healthcare of Washington, Inc. Enclosed please find your Molina Provider Manual, written specifically to address the contractual and regulatory requirements of delivering health care services to Washington State's Healthy Options, Apple Health - Adult and State Children's Health Insurance Program members.

This manual will provide you with information about Molina and will describe how we will work together as you care for your patients' health care needs.

Updates and changes to this manual will be forwarded to your office as they become available.

Please keep this manual handy for reference, and contact us at 1-800-869-7165 should you have any questions.


2014 Molina Provider Manual

The files below are in PDF format ( icon PDF )

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
Definitions of Terms
Quick Reference Guide
Provider Orientation
Apple Health Benefit Index 2015​



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