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Molina Healthcare Health Delivery Organization (HDO) application 2026
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Definition & Meaning
The Molina Healthcare Health Delivery Organization (HDO) application serves as an essential document for entities seeking to become part of Molina Healthcare's network. It represents the initial step for organizations to undergo credentialing, ensuring they meet the necessary standards and qualifications required by Molina Healthcare. This application process helps maintain the quality and reliability of services provided within Molina's healthcare network. The document requires detailed information about the organization's services, credentials, locations, and specialties, allowing Molina to thoroughly assess the suitability of potential participants in the network.
How to Use the Molina Healthcare HDO Application
Utilizing the Molina Healthcare HDO application involves a series of deliberate steps to ensure that your organization provides all necessary information accurately. It begins by downloading the form from Molina Healthcare's official website. Applicants must meticulously fill out each section, ensuring that no detail is overlooked. Essential sections may include general information about the organization, specific details on services provided, and a comprehensive list of practitioners associated with the entity. Once completed, collecting all supplementary documents such as licenses and insurance certificates is crucial for a complete submission.
Steps to Complete the Molina Healthcare HDO Application
- Download the Application: Obtain the form directly from the Molina Healthcare website.
- Fill Out Organizational Details: Include the name, contact information, and organizational structure.
- Describe Services Offered: Detail all services provided by the entity within the healthcare field.
- List Practitioners: Include all healthcare professionals affiliated with your organization.
- Attach Required Documentation: Gather copies of necessary licenses and insurance information.
- Review for Accuracy: Double-check all entered information to prevent delays due to errors.
- Submit the Application: Send the completed form and documents via the specified submission method.
Key Elements of the Molina Healthcare HDO Application
- Organizational Information: This includes the name, address, and type of healthcare services offered.
- Practitioner Details: Information on all doctors and healthcare providers within the entity.
- Licensure and Certification: Necessary licenses and certifications pertinent to services offered.
- Insurance Information: Proof of adequate insurance coverage as required by Molina.
- Specialty Services: Differentiation of specialties or specific services provided by the organization.
Required Documents
To ensure the successful application of the Molina Healthcare HDO, several supporting documents are necessary. These include up-to-date copies of all professional licenses for both the organization and its practitioners, proof of malpractice insurance, incorporation documents if applicable, and any special certifications or accreditations related to the healthcare services offered. Submitting complete documentation with the application form is critical to avoid processing delays.
Application Process & Approval Time
The application process involves submitting the filled-out Molina Healthcare HDO application form along with all required documents to Molina’s credentialing department. Upon submission, each application undergoes a thorough review process to verify that all information is complete and accurate. The approval time can vary depending on the complexity of the application and the volume of applications being processed. Typically, organizations are notified of their approval status within a few weeks to a few months after submission, depending on individual circumstances.
Legal Use of the Molina Healthcare HDO Application
The filled Molina Healthcare HDO application serves as a formal request for credentialing and subsequent inclusion in Molina's network. Legally, the submission and acceptance of this form obligate entities to comply with all policies and standards established by Molina Healthcare. Organizations must ensure that all information and documentation provided are truthful and accurate to the best of their knowledge, as false information may lead to penalties or revocation of the ability to participate in the network.
Who Typically Uses the Molina Healthcare HDO Application
The application is primarily utilized by healthcare organizations such as hospitals, clinics, specialized care centers, and multi-provider practices intending to join Molina Healthcare's network. These organizations aim to provide services to individuals under Molina's healthcare plans. By joining the network, these entities gain access to a broader patient base while ensuring that they adhere to the high standards required by a prominent health insurance provider.
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How do I contact Washington Medicaid?
Questions about free or low-cost Washington Apple Health (Medicaid) Phone: 1-800-562-3022. Email: askmagi@hca.wa.gov. Local Assistance: HCA Community-Based Specialists.
What is the phone number for Molina Healthcare of Washington provider services?
If you have any questions, call Provider Services at (855) 322-4082.
How do I speak to Medicaid customer service?
★ Department of Health Care Services California State Contacts. Eligibility. Enrollment. ☎ Call the Medi-Cal Helpline: 800-541-5555, or 916-636-1980.
What is the address for Molina Healthcare of Ohio claims?
If a dispute arises between You and the Workers Compensation carrier, as to Your ability to collect under Page 8 Molina Healthcare of Ohio, Inc., P.O. Box 349020, Columbus, OH 43234-9020 .MolinaHealthcare.com MHO-1735-9 1213 workers compensation laws, Molina will provide the benefits described in this Agreement
What is the phone number for Molina Healthcare of Washington Medicaid provider?
Contact Information Provider ServicesPhone (855) 322-4082 Fax (833) 671-3159 Claims Phone (855) 322-4082 PO Box 22612 Long Beach, CA 90801 Member Services Phone (800) 869-7165 Fax (800) 816-3778 Mailing Address Molina Healthcare of Washington PO Box 4004 Bothell, WA 98041-40043 more rows
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What is the payer ID for Molina Healthcare CA?
When submitting EDI Claims (via a clearinghouse) to Molina use the payer ID 38333.