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Molina Healthcare of Washington, Inc. Virtual Learning Series: Model of Care Training

Molina Healthcare of Washington is required to provide annual training regarding our Model of Care (MOC) program for SNP enrollees. The Model of Care is the foundation for Molina’s care management policy, procedures, and operational systems for our SNP population.

To ensure that Molina remains compliant with Centers for Medicare and Medicaid (CMS) regulatory requirements for Model of Care training, receipt of a completed attestation form is due from PCP’s, Health Home Care Coordination Organizations and providers listed below to Molina no later than 12/31/24.

To help providers, meet this contractual requirement we will be hosting a series of MOC Webinars. This training will allow attendees to get the required training and to have the attestation process completed at the end of the training.

If you have any questions regarding this training, please email Michelle.Dowdy@MolinaHealthcare.com

Event Details

• Dates and Times (click the date to register):
  • November 19th from 7:00 a.m. – 7:30 a.m. 
  • November 22nd from 12:00 p.m. – 12:30 p.m. 
  • December 3rd from 7:00 a.m. – 7:30 a.m.
  • December 5th from 6:00 p.m. – 6:30 p.m.

Virtual Lunch and Learn: Claims Reconsideration and Appeals

Join us for an informative session to learn more about Molina Healthcare of Washington’s Claim Reconsideration and Appeals process. Navigating claims reconsiderations and appeals can be complex, this program will provide an overview of the process and resources available to help you understand this process.

You will learn:

• Molina’s Definition and examples of Reconsiderations and Appeals
• When it is not appropriate to file a reconsideration.
• Key features of the Reconsideration Process
• Top Denials and Billing Tips 
• Questions

Event Details (click the date to register): 

• December 6th, 2024, from 12:00 PM – 1:00 PM

Joint MCO Live Training Sessions for Apple Health (Medicaid) Providers

Washington’s Managed Care Organizations (MCOs) request your participation in 2024 joint Apple Health Integrated Managed Care (IMC) & Medicare Advantage Provider Training. You will hear from Community Health Plan of Washington, Coordinated Care of Washington, Inc., Molina Healthcare of Washington, United Healthcare, and Wellpoint Washington about this training. Joining one of the training sessions will satisfy your annual attendance requirement under 42 CFR 38.608(a)(1)iv.

Who: Providers servicing Medicaid and Medicare Advantage enrollees.

What is Covered:

• Enrollee Rights & Responsibilities
• Advanced Directives
• Fraud, Waste and Abuse
• False Claims Act
• Cultural Awareness

When: Please register for one of the below training sessions.

After the training, you will be asked to complete a short survey, which confirms your participation and provides an opportunity to submit feedback on this presentation. If you have questions regarding this training requirement, please contact aaron.moore@wellpoint.com.