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Molina Healthcare, Inc. Health Delivery Organization (HDO) ApplicationINSTRUCTIONS: Please submit this completed application and required attachments in order to apply for initial credentialing or

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Molina Healthcare Inc. provides managed health care services to individuals and families who receive their care through Medicaid, Medicare and other government-funded programs.

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Providers must report patient information, services provided, diagnosis codes, billing codes, and other relevant information required for reimbursement.

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