Molina Healthcare lands gov’t health program contract

Written by  //  December 9, 2014  //  In-Brief  //  No comments

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Molina_Healthcare_LogoMolina Healthcare Inc. announced Monday that its wholly owned subsidiary, Molina Healthcare of Puerto Rico Inc., has executed a contract with the Puerto Rico Health Insurance Administration, ASES, to operate the Commonwealth’s Medicaid-funded Government Health Plan program in the East and Southwest regions.

Molina Healthcare of Puerto Rico’s total expected enrollment in the two regions is approximately 350,000 members.

“As a health care company that has more than 30 years of experience serving Medicaid beneficiaries, we are pleased to have been selected as a new Medicaid provider in Puerto Rico,” said J. Mario Molina, president of Molina Healthcare. “We look forward to working closely with ASES, local providers, and community leaders to deliver high-quality health care to Puerto Rico’s Medicaid participants.”

Under the government’s health plan program, the new model of care will integrate physical and behavioral health care services under a single managed care organization in each region. The public health plan currently covers approximately 1.4 million beneficiaries across the island.

Molina Healthcare of Puerto Rico was selected by ASES pursuant to its request for proposals issued in June 2014. The operational start date for the program is currently scheduled for April 2015. Molina Healthcare of Puerto Rico will now begin working through a readiness review with ASES.

Molina Healthcare Inc., a Fortune 500 company, provides managed health care services under the Medicaid and Medicare programs and through the state insurance marketplaces.

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