Molina Healthcare Outpatient Visits

Listing Websites about Molina Healthcare Outpatient Visits

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What's Covered - Molina Healthcare

(7 days ago) WebChoose a Molina Healthcare State. Please select one of the states in which Molina Healthcare provides services. Select Your State We cover outpatient and inpatient health visits, as well as outpatient and inpatient alcohol and drug treatment services. We can help you get care.

https://www.molinahealthcare.com/members/wa/en-us/mem/medicaid/imc/covered/covered.aspx

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Behavioral Health - Molina Healthcare

(8 days ago) WebMolina Healthcare covers outpatient and inpatient behavioral health treatment services with licensed mental health and substance use disorder specialists. You may self-refer for an initial evaluation and outpatient behavioral health services or visit your Primary Care Provider (PCP). Your PCP may treat some behavioral health conditions such as

https://www.molinahealthcare.com/members/wa/en-US/mem/medicaid/bhso/covered/behavioral-health.aspx

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Summary of Benefits and Coverage: What this Plan Covers

(8 days ago) WebMolina Healthcare of Washington, Inc.: Constant Care Silver 1 150 Coverage Period: 01/01/2024-12/31/2024 If you visit a health care . provider’s. office or clinic . Primary care visit to treat an $30 copay/outpatient visit 25% coinsurance for inpatient services Not covered • 25 visits/year (Outpatient) and 30

https://www.molinamarketplace.com/~/media/Molina/PublicWebsite/PDF/members/wa/en-US/Marketplace/2024/WA24SBCE_S1_5.pdf

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Outpatient Rehab - Molina Healthcare

(2 days ago) WebFor outpatient hospital rehabilitation services, revenue codes should be used for these procedures: • 0424 Physical Therapy - evaluation or re-evaluation. • 0430 Occupational Therapy - evaluation or re-evaluation. • 0444 Speech Therapy - evaluation or re-evaluation (under 21 years of age) MAD 303. Adobe Acrobat Reader is required to view

https://www.molinahealthcare.com/providers/nm/medicaid/manual/OutpatientRehab.aspx

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Summary of Benefits and Coverage: What this Plan Covers

(8 days ago) WebFor network providers $8,100 individual / $16,200 family; for out-of-network providers there is no coverage unless Prior Authorized by Molina Healthcare. The out-of-pocket limit out-of-pocket limit is the most you could pay in a year for covered services. If you have other family members in this plan, they have to meet their own out-of-pocket

https://www.molinamarketplace.com/~/media/Molina/PublicWebsite/PDF/members/mi/en-US/Marketplace/2024/MI24SBCE_G1_1.pdf

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Molina - Guardian IOP - Intensive Outpatient Addiction Treatment …

(Just Now) WebGuardian IOP is an Intensive Outpatient Program where we offer comprehensive gender-specific and age-specific treatment programs for adults recovering from substance abuse. While Intensive Outpatient Programs are not for everyone, for some they offer a necessary balance that includes the ability to return home each evening, maintain visits to the …

https://www.guardianiop.com/admissions-and-insurance/molina/

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Molina Complete Care Prior Authorization and Pre-service …

(Just Now) WebMolina Complete Care Prior Authorization and Pre-service Review Guide Effective January 1, 2022 lookup tool for specific codes that require authorization. Please note – office visits to contracted/participating (PAR) providers, referrals to network specialists and emergency outpatient, targeted care management; o Electroconvulsive

https://molinamobile.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/az/comm/PRV-Prior-Authorization-and-Pre-Service-Review-Guide-UNFILLABLE.pdf

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MOLINA® HEALTHCARE MEDICAID PRIOR …

(5 days ago) Web• Molina Healthcare has a full-time Medical Director available to discuss medical necessity decisions with the requesting physician at (866) 814-2221 . Important Molina Healthcare Medicaid Contact Information (Service hours 8am-5pm local M-F, unless otherwise specified) Prior Authorizations including Behavioral Health: Phone: (844) 557-8434

https://blog.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/ca/Medicaid/2022-PA-Guide-Medicaid.pdf

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EFFECTIVE: 1/1/23 - Molina Healthcare

(5 days ago) WebProviders and members can request a copy of the criteria used to review requests for medical services. Molina Healthcare has a full-time Medical Director available to discuss medical necessity decisions with the requesting physician at 1 (855) 322-4077.

https://join.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/mi/Q1-2023-PA-Guide-Medicaid-and-Marketplace.pdf

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MOLINA HEALTHCARE OF MICHIGAN, INC.

(9 days ago) WebMolina will pay Non-Participating Providers and Facilities directly for these Covered Services. See your Agreement for more details. Deductible Type. At Participating Providers, You Pay. Combined Medical & Pharmacy Deductible. Individual. $1,550. Entire Family of 2 or more Members.

https://www.molinamarketplace.com/~/media/Molina/PublicWebsite/PDF/members/mi/en-US/Marketplace/2024/MI24SOBE_G1V_1.pdf

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MOLINA® HEALTHCARE MEDICARE PRIOR …

(Just Now) WebMolina® Healthcare, Inc. – Prior Authorization Service Request Form EFFECTIVE: 01/01/2021 FAX (844) 251-1450 PHONE (855) 237-6178 Molina Healthcare of South Carolina, Inc. 2021 Medicare Prior Authorization Guide/Request Form Effective 01.01.21 Transportation (Access2Care (A2C) Where needed, authorizations are not required …

https://join.molinahealthcare.com/providers/common/medicare/-/media/Molina/PublicWebsite/PDF/Providers/sc/medicare/MHSC_2021_PriorAuthGuide_DSNP_R.pdf

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Molina Healthcare of California Marketplace Prior …

(9 days ago) WebMolina Healthcare has a full-time Medical Director available to discuss medical necessity decisions with the requesting physician at (800) 526-8196 Important Molina Healthcare Marketplace Information Medical Prior Authorizations: 8:00 a.m. – 5:00 p.m. Phone: 855 322-4075 Fax: 800 811-4804 Radiology Authorizations:

https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/webportaldocs/Providers/CA/Marketplace%20Prior%20Authorization%20Form.pdf

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Summary of Benefits and Coverage: What this Plan Covers

(9 days ago) WebMolina Healthcare of Michigan, Inc.: Silver 12 150 with First 4 Primary Care Visits Free. Coverage Period: 01/01/2024 – 12/31/2024 If you visit a health care provider’s office or clinic. Primary care visit to treat an injury or illness. If you have outpatient surgery. Facility fee (e.g., ambulatory surgery center) 20% coinsurance

https://www.molinamarketplace.com/~/media/Molina/PublicWebsite/PDF/members/mi/en-US/Marketplace/2024/MI24SBCE_S12_5.pdf

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Molina Complete Care Prior Authorization and Pre-service …

(5 days ago) WebMolina Complete Care Prior Authorization and Pre-service Review Guide Effective March 3, 2022 website or prior authorization (PA) lookup tool for specific codes that require authorization. Please note – office visits to contracted/participating (PAR) providers, referrals to network specialists and emergency outpatient, targeted care

https://join.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/az/Forms/AZ-PRV-20246-21-UM-PRV-SRF-Form-and-Guide-BO-SME-final-March-2022.pdf

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Welcome to Molina's ePortal – Member Self Services

(6 days ago) WebWelcome to your Molina Member Portal. LOG IN. Don't have an account? Create an Account. Forgot your Username? Forgot your Password? ©2023 Molina Healthcare, Inc.

https://member.molinahealthcare.com/

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Molina Healthcare of Ohio, Inc.

(8 days ago) WebYou can file a complaint in person, by mail, fax, or email. If you need help writing your complaint, we will help you. Call our Civil Rights Coordinator at (866) 606-3889, or TTY: 711. Mail your complaint to: Civil Rights Coordinator, 200 Oceangate, Long Beach, CA 90802.

https://www.molinamarketplace.com/~/media/Molina/PublicWebsite/PDF/members/oh/en-US/Marketplace/2023/OH23SOBE_S1_1.pdf

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Rapid Access From Primary Care to a Multidisciplinary Clinic at

(2 days ago) WebThe adjusted 1-year healthcare utilization outcomes for LEAPP patients demonstrated an increase in inpatient admissions, primary care polyclinic visits, hospital specialist outpatient clinic (SOC) visits and elective day surgery procedures.

https://journals.sagepub.com/doi/pdf/10.1177/15347346241252200

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PRIOR AUTHORIZATION/PRE-SERVICE REVIEW GUIDE

(4 days ago) WebImportant Molina Healthcare Medicaid Contact Information (Service hours 8am-5pm local M-F, unless otherwise specified) Inpatient and Outpatient Prior Authorizations including Behavioral Health Authorizations: Phone: (855) 326-5059 . Fax: (877) 708-2117 . 24 Hour Behavioral Health Crisis (7 days/week):

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/wi/Medicaid/forms/2024_Medicaid_PA_GuideRequestForm_R.ashx

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Molina® Healthcare, Inc. – Behavioral health prior …

(4 days ago) WebMolina Healthcare, Inc. 2022 Medicaid PA Guide/Request Form . VA-ALL-PF-21851-22 . Effective 07.01.2022 . Molina® Healthcare, Inc. – Behavioral health prior authorization service request form. Member information. Line of business: ☐ Medicaid ☐ Marketplace ☐ Medicare. Date of request: State/health plan (i.e. CA): Member name: DOB (MM/DD

https://phs.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/va/Forms/VA-ALL-PF-21851-22-BH-Prior-Authorization-Request-Form-FINAL_508c.pdf

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MOLINA HEALTHCARE MARKETPLACE PRIOR …

(6 days ago) WebThe plan retains the right to review benefit limitations and exclusions, beneficiary eligibility on the date of the service, correct coding, billing practices and whether the service was provided in the most appropriate and cost-effective setting of care. Molina Healthcare of Utah Marketplace Fax: (866) 497-7448 Phone: (855) 322-4081.

https://www.molinamarketplace.com/marketplace/ut/en-us/Providers/-/media/Molina/PublicWebsite/PDF/Providers/ut/marketplace/forms/2022%20UT%20MP%20PA%20Guide-Request%20Forms.pdf

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Molina Healthcare of Florida Marketplace Prior …

(9 days ago) WebMolina Healthcare has a full-time Medical Director available to discuss medical necessity decisions with the requesting physician at (866) 472-4585 Important Molina Healthcare Marketplace Information Prior Authorizations: 8:00 a.m. – 5:00 p.m. Phone: (855) 322-4076 Fax: (866) 440-9791

https://www.molinahealthcare.com/~/media/Molina/PublicWebsite/PDF/webportaldocs/Providers/FL/Marketplace%20Prior%20Authorization%20Form.pdf

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Request for Prior Authorization - Molina Healthcare

(4 days ago) WebUtilization Management Department Phone: CCC Plus: 1-800-424-4524 or Medallion 4.0: 1-800-424-4518 UM CCC Plus Fax: 1-866-210-1523 or UM Medallion 4.0 Fax: 1-855-769-2116 Physician-Administered/HCPCS Utilization Management Department Fax: 1-844-278-5731. ***Confidentiality Notice*** This electronic message transmission contains …

https://www.molinahealthcare.com/-/media/Molina/PublicWebsite/PDF/Providers/va/Forms/VA-ALL-PF-20972-21-UM-Prior-Authorization-Request-Form-FINAL_508c.pdf

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