Get Molina Healthcare Hdo Application 2011
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How to fill out the Molina Healthcare HDO Application online
The Molina Healthcare Health Delivery Organization (HDO) Application is a key document for organizations seeking to provide healthcare services through Molina Healthcare. This guide offers a comprehensive overview of the application process, ensuring users can complete the form accurately and efficiently.
Follow the steps to successfully complete the Molina Healthcare HDO Application
- Press the ‘Get Form’ button to access the application form and open it in the document editor.
- Fill out section 1 with your organization information. Provide details such as the legal name of the organization, DBA name if any, owner type, and all required contact addresses.
- In section 2, include physical location information. Indicate whether the location is Medicare certified, provide the street address, city, state, and any accessibility details.
- Proceed to section 3 to list your primary contracted specialties and taxonomy. Select all applicable services your location offers.
- Complete section 4 by providing current insurance coverage details. Attach any relevant documentation, including the insurance face-sheet.
- If applicable, fill out section 5 regarding accreditation and attach necessary certificates from recognized accrediting bodies.
- In section 6, address the credentialing program to confirm the verification processes for licensed and non-licensed staff.
- Review all sections to ensure completeness. If a section does not apply to your situation, mark it as N/A.
- Once all information is completed and verified, save changes, then download, print, or share the application form as needed.
Complete your Molina Healthcare HDO Application online today to ensure a smooth submission process.
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Molina Healthcare of Washington offers Medicaid managed care plans, catering primarily to low-income residents of the state. Their plans typically include comprehensive coverage options like preventive care, behavioral health services, and maternity care. If you're interested, the Molina Healthcare HDO Application is the first step toward accessing these benefits.
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