Molina Health Care - Your extended Family

Provider Manuals

Select State California Florida Illinois Michigan New Mexico Ohio Texas Utah Washington

Forms

Select State MI - Behavioral Health IP PHP IOP Treatment Request Form 2013 MI - Behavioral Health Outpt Treatment Request Form 2013 MI - Prior Auth Form OH - Provider Information Update Form UT - HA CORF NOMNC UT - HA HH NOMNC UT - HA SNF NOMNC UT - Molina CORF NOMNC UT - Molina HH NOMNC UT - Molina SNF NOMNC WA - Medicare Health Evaluation Form 2013

EDI

Select State California Florida Michigan Ohio New Mexico Texas Utah Washington

Prior Authorization Forms

Medical

Select State California Florida Michigan Michigan - No Auth Req. List New Mexico Ohio - Thru 2/28/13 Ohio - Effective 3/1/13 Texas Utah Utah - Healthy Advantage UTHA Med Codes UTHA Specialty Rx Washington

Rx

Select State California Illinois Florida Michigan New Mexico Ohio Texas Utah Utah - Healthy Advantage Washington

Guidelines

Clinical Practice Guidelines

Preventive Health Guidelines

Select State California Florida Michigan New Mexico Ohio Texas Utah Washington

Health Resources

Medical Record Standards
Quality Improvement
SNP Model of Care

HEDIS/CAHPS

Select State California Michigan Utah Washington

*HEDIS rates for Florida, New Mexico, Ohio, and Texas are currently unavailable.

Formulary

2013 Comprehensive Formulary
2013 Healthy Advantage Drug Formulary
2013 Comprehensive Formulary (FL Molina Medicare Options HMO, Molina Medicare Options Plus HMO SNP) & (TX Molina Medicare Options Plus HMO SNP)

Policies

Member Rights & Responsibilities
Provider Rights & Responsibilities
Advance Directives
Credentialing Rights
Fraud Prevention
Patient Safety

Services

Utilization Management
Behavioral Health
MI - Behavioral Health Orientation
MI - Behavioral Health FAQs
Case Management
Disease Management
Coordination of Care
Health Promotion
Nurse Advice

Care for Diverse Populations

Communications

Retro Rx Changes

Molina Compliance Program

The Molina Compliance Hotline:
Ph: 866-606-3889
Fax: 877-665-4620
corporatecompliance@molinahealthcare.com

To report an issue online visit: https://molinahealthcare.AlertLine.com

Select Form Reporting Compliance and Fraud Waste Abuse Molina Compliance Program Molina Healthcare Code of Business Conduct and Ethics Molina Compliance and FWA Plan Reporting Compliance Issues Medicare Sanction Process Contractors Medicare Record Retention Policy Prohibiting Retaliation Against Individuals For Reporting

Compliance Training

Select Form Molina Compliance Training-Contractors Molina Fraud Waste Abuse Training Reporting Compliance-Fraud Waste Abuse Attestation Code of Conduct Compliance Program Attestation Compliance Training Attestation Fraud Waste Abuse Training Attestation Exclusion List

MMSNP Provider Training Web Version
Web Confirmation Form SNP Training

Non-Contracted Providers

Non-Contracted Provider Dispute and Appeals Processes
Waiver of Liability