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This document contains both information and form fields. To read information, use the Down Arrow from a form field.Molina Healthcare of Wisconsin, Inc. Practitioner Application 1.INSTRUCTIONSThis
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Molina Healthcare of Wisconsin is a managed care organization that provides health care services to individuals and families enrolled in government-sponsored programs, including Medicaid. It aims to improve access to medical care and enhance health outcomes for its members.
Individuals and families eligible for Medicaid in Wisconsin who are enrolled in Molina Healthcare are required to file with Molina to receive health care benefits and services.
To fill out Molina Healthcare of Wisconsin forms, individuals should obtain the necessary applications from Molina's website or local offices, complete the forms with accurate personal and income information, and submit them according to the specified instructions.
The purpose of Molina Healthcare of Wisconsin is to provide quality health care services, support, and resources to low-income individuals and families, ensuring access to necessary medical and preventive care while improving overall health outcomes.
Required information includes personal identification details, household size, income level, health conditions, and any other pertinent information necessary to assess eligibility for Medicaid and determine the appropriate health care services.
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