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Molina Healthcare Inc Health Delivery Organization HDO

Molina Healthcare Inc Health Delivery Organization HDO 2025

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The document is an application for credentialing with Molina Healthcare, Inc. It outlines the requirements and instructions for organizations seeking to apply for participation in Molina's network. Key points include the necessity of completing all sections of the application, submitting various supporting documents (such as licenses, insurance information, and tax forms), and ensuring that each location applying has its own application if it differs in specialty or accreditation. The document emphasizes that incomplete applications will be returned and that credentialing approval does not finalize contract participation.

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Click ‘Get Form’ to open the Molina Healthcare Inc Health Delivery Organization HDO application in the editor.
Begin by filling out Section 1, 'Organization Information.' Provide the legal name, DBA name, and contact details. Ensure all fields are completed accurately.
Move to Section 2, 'Current Insurance Coverage.' Attach a copy of your current liability insurance face sheet and fill in the required information about your insurance coverage.
In Section 3, 'Physical Location Information,' provide details for each practice location. Make sure to indicate if the location is Medicare certified and include any additional relevant information.
Complete Section 4 regarding 'Primary Contracted Specialty & Taxonomy.' Select all applicable specialties and ensure you have the correct taxonomy codes.
Fill out Section 5 on 'Accreditation/Certification' by checking all that apply and providing dates of last surveys where necessary.
Finally, complete Section 6, answering all questions related to credentialing programs. Ensure that all responses are accurate and comprehensive.
Review your application for completeness before submitting it along with any required attachments to your contracting representative.

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Versions	Form popularity	Fillable & printable
2019	4.8 Satisfied (132 Votes)
2018	4.3 Satisfied (54 Votes)
2014	4.3 Satisfied (187 Votes)
2013	4 Satisfied (33 Votes)
2011	4.4 Satisfied (169 Votes)

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Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What did Molina Healthcare used to be called?

C. David Molina founded our company in 1980 under the name Molina Medical Centers as a provider organization serving the Medicaid population through a network of primary care clinics in California.

Is Molina insurance PPO or HMO?

Molina is an HMO carrier exclusively.

What kind of insurance is Molina Healthcare?

Medicaid. Molina Healthcare contracts with state governments and serves as a health plan, providing a wide range of quality health care services to families and individuals who qualify for government-sponsored programs, including Medicaid and the State Childrens Health Insurance Program (SCHIP).

What is a health delivery organization?

A Health Delivery Organization (HDO) is an organization, or group of related organizations, that are involved with the delivery of healthcare services. A hospital is an example of an HDO, as are a group of physician practices acting in concert in an area.

Is Molina Healthcare public or private?

Molina Healthcare Company typePublic Traded as NYSE: MOH SP 500 component Industry Healthcare Founded 1980 in Long Beach, California, U.S. Founder C. David Molina14 more rows