Molina
What year did Molina begin operations ?
1980
What does IME stand for?
Iowa Mediacd Enterprise
What is Molina’s UM Dept. called?
Health Care Services
What is the Molina name for application called?
HDO
What does CDAC stand for ?
Consumer directed attendant care
In what city did Molina begin operations ?
Long Beach
What states that members cannot be balanced billed for Medicaid covered services?
Iowa Code
What is the required TAT for a standard service requiring an auth?
14 Days
What organization does Molina use for credendtialing?
CAQH
Who is AVP of LTSS ?
Brian Maarten
19
What dept requests questions that need to go to the IME/ the state?
Government Contracts
Does skilled nursing require an auth.?
Yes
What does SCA stand for?
Single Case Agreeement
What aorganization is used for CDAC providers?
Carebridge
What systems is Iowa the first to use for Molina?
Edifecs & Conga
What waiver provides funding for Iowa residents over 65.
Elderly Waiver
What care guidelines does Molina use for UM?
Milliman
What is or contractual requirent for a clean credentialing application?
30 days
What does CP stand for?
Client Participation
Who is the President and Chief Executive Officer?
Joseph Zubretsky
Finish this statement. Medicaid is the payer of ______
Last resort
What does LOC stand for?
Level of Care
What year is Molina targeting a Medicare LOB?
2026
What vendor handles telehealth for the members on an IDD waiver
Station MD