Molina Medicaid Solutions - DHHR

More documents

Recommendations

Info

e10vkDepartment of Health Services (DHS).California 6-30-09 Medi-Cal contract for San Diego Geographic Managed Care Program with California Department of Health Services(DHS).California 6-30-09 Healthy Families contract (California’s CHIP program) with California Managed Risk Medical Insurance Board(MRMIB).Florida 8-31-09 Medicaid contract with the Florida Agency for Health Care Administration.Michigan 9-30-09 Medicaid contract with State of Michigan.Missouri 9-30-09 Medicaid contract with the Missouri Department of Social Services.Nevada 12-31-09 Medicare Advantage contract with CMS.New Mexico 6-30-09 Salud! Medicaid Managed Care Program contract (including CHIP) with New Mexico Human Services Department(HSD).Ohio 6-30-09 Medicaid contract with Ohio Department of Job and Family Services (ODJFS).Texas 8-31-10 Medicaid contract with Texas Health and Human Services Commission (HHSC).Utah 6-30-09 Medicaid contract with Utah Department of Health.Washington 12-31-09 Basic Health Plan and Basic Health Plus Programs contract with Washington State Health Care Authority (HCA).Washington 12-31-09 Healthy Options Program (including Medicaid and CHIP) contract with State of Washington Department of Social andHealth Services.In addition to the foregoing, our health plans in California, Michigan, Nevada, New Mexico, Texas, Utah, and Washington have entered into a standardized form ofcontract with CMS with respect to their operation of a MA SNP, and our health plans in California, Michigan, Nevada, New Mexico, Texas, Utah, and Washington have alsoentered into a standardized form of contract with CMS with respect to their operations of an MA-PD plan. These contracts are renewed annually and were most recentlyrenewed as of January 1, 2009.Our health plan subsidiaries have generally been successful in obtaining the renewal by amendment of their contracts in each state prior to the actual expiration of theircontracts. However, there can be no assurance that these contracts will continue to be renewed. For example, our Indiana plan’s contract with the state of Indiana expiredwithout being renewed effective December 31, 2006.Our contracts with state and local governments determine the type and scope of health care services that we arrange for our members. Generally, our contracts require usto arrange for preventive care, office visits, inpatient and outpatient hospital and medical services, and pharmacy benefits. We are usually paid a negotiated amount per memberper month, with the amount varying from contract to contract. Generally, that amount is higher in states where we are required to offer more extensive health benefits. We arealso paid an additional amount for each newborn delivery in Michigan, Missouri, New Mexico, Ohio, Texas and Washington. Since July 2002, our Utah health plan has beenreimbursed by the state for all medical costs incurred by its Medicaid members plus a 9%6Table of Contentsadministrative fee. Effective as of January 1, 2009, that administrative fee was reduced to 8%. In general, either party may terminate our state contracts with or without causeupon 30 days to nine months prior written notice. In addition, most of these contracts contain renewal options that are exercisable by the state.California. As of December 31, 2008, our California health plan served 322,000 members. We arrange health care services for our members either as a direct contractorto the state or through subcontracts with other health plans. Our plan serves the counties of Los Angeles, Riverside, San Bernardino, San Diego, Sacramento, and Yolo. OurMedi-Cal members in Los Angeles County are served pursuant to a subcontract we have entered into with Health Net, with Health Net in turn contracting with the state. OurCalifornia health plan also operates 17 of its own primary care community clinics.Florida. In August 2008, we announced our intention to acquire Florida NetPASS, LLC (“NetPASS”), a provider of care management and administrative services at thattime to approximately 55,000 Florida MediPass members in South and Central Florida. In October 2008, we announced that our wholly owned subsidiary, Molina Healthcare ofFlorida, Inc., was awarded a Medicaid managed care contract by the state of Florida. The term of the contract commenced on December 1, 2008, at which time MolinaHealthcare of Florida began its initial enrollment of NetPASS Medicaid members, with the full transition of NetPASS members expected to be completed by the third quarter of2009. As of March 1, 2009, our Florida plan served approximately 17,000 members.Michigan. As of December 31, 2008, our Michigan health plan served 206,000 members, and operated in 42 of the state’s 83 counties, including the Detroit metropolitanarea.Missouri. As of December 31, 2008, our Missouri health plan served 77,000 members, and operated in 57 of the state’s 114 counties. Our Missouri health plan wasacquired effective November 1, 2007.Nevada. As of December 31, 2008, our Nevada health plan served approximately 700 Medicare members, and had no Medicaid enrollment. Our Nevada health planbecame operational on June 1, 2007.New Mexico. As of December 31, 2008, our New Mexico health plan served 84,000 members, and operated in all of New Mexico’s 33 counties.Ohio. As of December 31, 2008, our Ohio health plan served 176,000 members, and operated in 50 of the state’s 88 counties.Texas. As of December 31, 2008, our Texas health plan served 31,000 members, serving STAR and CHIP members in 6 counties and STAR PLUS members in 13counties. STAR stands for State of Texas Access Reform, and is Texas’ Medicaid managed care program. STAR PLUS is the Texas Medicaid managed care program servingthe aged, blind or disabled and includes a long-term care component.Utah. As of December 31, 2008, our Utah health plan served 61,000 members (including 2,400 Medicare Advantage SNP members). Our Utah health plan servesMedicaid members in 26 of the state’s 29 counties, including the Salt Lake City metropolitan area, and CHIP members in all 29 counties.Virginia. On July 1, 2008, Molina Healthcare of Virginia, Inc. began to operate the Fairfax County Community Health Care Network. This network consists of threecounty clinics, providing comprehensive medical services to over 12,000 of the county’s uninsured residents.Washington. As of December 31, 2008, our Washington health plan served 299,000 members, and operated in 32 of the state’s 39 counties.Provider NetworksWe arrange health care services for our members through contracts with providers that include independent physicians and groups, hospitals, ancillary providers, and ourown clinics. Our strategy is to contract with providers in those geographic areas and medical specialties necessary to meet the needs of our members. We also strive to ensurethat our providers have the appropriate cultural and linguistic experience and skills.7Table of ContentsThe following table shows the total approximate number of primary care physicians, specialists, and hospitals participating in our network as of December 31, 2008:Primary CarePhysicians Specialists HospitalsCalifornia 2,833 7,162 81Florida 226 85 8Michigan 2,103 4,319 66Missouri 1,828 4,282 97Nevada 706 2,091 27New Mexico 1,511 5,799 60Ohio 1,682 10,585 123Texas 1,329 3,939 58Utah 1,101 3,178 35Washington 2,710 5,815 87Total 16,029 47,255 642Physicians. We contract with both primary care physicians and specialists, many of whom are organized into medical groups or independent practice associations.Primary care physicians provide office-based primary care services. Primary care physicians may be paid under capitation or fee-for-service contracts and may receiveadditional compensation by providing certain preventive services. Our specialists care for patients for a specific episode or condition, usually upon referral from a primary carephysician, and are usually compensated on a fee-for-service basis. When we contract with groups of physicians on a capitated basis, we monitor their solvency.Hospitals. We generally contract with hospitals that have significant experience dealing with the medical needs of the Medicaid population. We reimburse hospitalsunder a variety of payment methods, including fee-for-service, per diems, diagnostic-related groups, or DRGs, capitation, and case rates.Primary Care Clinics. Our California health plan operates 17 company-owned primary care clinics in California staffed by our physicians, physician assistants, andnurse practitioners. These clinics are located in neighborhoods where our members live, and provide us a first-hand opportunity to understand the special needs of our members.The clinics assist us in developing and implementing community education, disease management, and other programs. The clinics also give us direct clinic managementexperience that enables us to better understand the needs of our contracted providers. In addition, we have a non-licensed subsidiary in Virginia which manages three health careclinics for Fairfax County.Medical Managementhttp://sec.gov/Archives/edgar/data/1179929/000095013409005437/a51362e10vk.htm[1/6/2012 11:14:47 AM]
e10vkOur experience in medical management extends back to our roots as a provider organization. Primary care physicians are the focal point of the delivery of health care toour members, providing routine and preventive care, coordinating referrals to specialists, and assessing the need for hospital care. This model has proven to be an effectivemethod for coordinating medical care for our members. The underlying challenge we face is to coordinate health care so that our members receive timely and appropriate carefrom the right provider at the appropriate cost. In support of this goal, and to ensure medical management consistency among our various state health plans, we continuouslyrefine and upgrade our medical management efforts at both the corporate and subsidiary levels.We seek to ensure quality care for our members on a cost-effective basis through the use of certain key medical management and cost control tools. These tools includeutilization management, case and health management, and provider network and contract management.Utilization Management. We continuously review utilization patterns with the intent to optimize quality of care and ensure that only appropriate services are rendered inthe most cost-effective manner. Utilization management, along with our other tools of medical management and cost control, is supported by a centralized corporate medicalinformatics function which utilizes third-party software and data warehousing tools to convert8Table of Contentsdata into actionable information. We use a predictive modeling capability that supports a proactive case and health management approach both for us and our affiliatedphysicians.Case and Health Management. We seek to encourage quality, cost-effective care through a variety of case and health management programs, including diseasemanagement programs, educational programs, and pharmacy management programs.Disease Management Programs. We develop specialized disease management programs that address the particular health care needs of our members. motherhoodmatters!sm is a comprehensive program designed to improve pregnancy outcomes and enhance member satisfaction. breathe with ease!sm is a multi-disciplinary diseasemanagement program that provides intensive health education resources and case management services to assist physicians caring for asthmatic members between the ages ofthree and fifteen. Healthy Living with Diabetessm is a diabetes disease management program. “Heart Health Living” is a cardiovascular disease management program formembers who have suffered from congestive heart failure, angina, heart attack, or high blood pressure.Educational Programs. Educational programs are an important aspect of our approach to health care delivery. These programs are designed to increase awareness ofvarious diseases, conditions, and methods of prevention in a manner that supports our providers while meeting the unique needs of our members. For example, we provide ourmembers with information to guide them through various episodes of care. This information, which is available in several languages, is designed to educate parents on the use ofprimary care physicians, emergency rooms, and nurse call centers.Pharmacy Management Programs. Our pharmacy management programs focus on physician education regarding appropriate medication utilization and encouraging theuse of generic medications. Our pharmacists and medical directors work with our pharmacy benefits manager to maintain a formulary that promotes both improved patient careand generic drug use. We employ full-time pharmacists and pharmacy technicians who work with physicians to educate them on the uses of specific drugs, the implementationof best practices, and the importance of cost-effective care.Provider Network and Contract Management. The quality, depth, and scope of our provider network are essential if we are to ensure quality, cost-effective care for ourmembers. In partnering with quality, cost-effective providers, we utilize clinical and financial information derived by our medical informatics function, as well as the experiencewe have gained in serving Medicaid members to gain insight into the needs of both our members and our providers. As we grow in size, we seek to strengthen our ties withhigh-quality, cost-effective providers by offering them greater patient volume.Plan Administration and OperationsManagement Information Systems. All of our health plan information technology and systems operate on a single platform. This approach avoids the costs associatedwith maintaining multiple systems, improves productivity, and enables medical directors to compare costs, identify trends, and exchange best practices among our plans. Oursingle platform also facilitates our compliance with current and future regulatory requirements.The software we use is based on client-server technology and is scalable. We believe the software is flexible, easy to use, and allows us to accommodate anticipatedenrollment growth and new contracts. The open architecture of the system gives us the ability to transfer data from other systems without the need to write a significant amountof computer code, thereby facilitating the integration of new plans and acquisitions.We have designed our corporate website with a focus on ease of use and visual appeal. Our website has a secure ePortal which allows providers, members, and tradingpartners to access individualized data. The ePortal allows the following self-services:• Provider Self Services. Providers have the ability to access information regarding their members and claims. Key functionalities include Check Member Eligibility,View Claim, and View/Submit Authorizations.9Table of Contents• Member Self Services. Members can access information regarding their personal data, and can perform the following key functionalities: View Benefits, RequestNew ID Card, Print Temporary ID Card, and Request Change of Address/PCP.• File Exchange Services. Various trading partners — such as service partners, providers, vendors, management companies, and individual IPAs — are able toexchange data files (HIPAA or any other proprietary format) with us using the file exchange functionality.Best Practices. We continuously seek to promote best practices. Our approach to quality is broad, encompassing traditional medical management and the improvementof our internal operations. We have staff assigned full-time to the development and implementation of a uniform, efficient, and quality-based medical care delivery model forour health plans. These employees coordinate and implement Company-wide programs and strategic initiatives such as preparation of the Health Employer Data andInformation Set (HEDIS) and accreditation by the National Committee on Quality Assurance, or NCQA. We use measures established by the NCQA in credentialing thephysicians in our network. We routinely use peer review to assess the quality of care rendered by providers. At December 31, 2008, six of our ten health plans were accreditedby the NCQA. In January 2009, our Ohio health plan received its NCQA accreditation. Our Texas health plan expects to apply for NCQA accreditation review in 2009. OurMissouri plan will undergo NCQA review in 2010, and our Nevada plan expects to apply for NCQA review as soon as it is eligible.Claims Processing. All of our health plans operate on a single managed care platform for claims processing (the QNXT 3.4 system), with the exception of our Missouriplan which we expect will be migrated to the Molina standard platform in the fourth quarter of 2009.Compliance. Our health plans have established high standards of ethical conduct. Our compliance programs are modeled after the compliance guidance statementspublished by the Office of the Inspector General of the U.S. Department of Health and Human Services. Our uniform approach to compliance makes it easier for our healthplans to share information and practices and reduces the potential for compliance errors and any associated liability.Disaster Recovery. We have established a disaster recovery and business resumption plan, with back-up operating sites, to be deployed in the case of a major disruptiveevent.CompetitionWe operate in a highly competitive environment. The Medicaid managed care industry is fragmented and currently subject to significant changes as a result of businessconsolidations, new strategic alliances entered into by other managed care organizations, and the entry into the industry of large commercial health plans. We compete with alarge number of national, regional, and local Medicaid service providers, principally on the basis of size, location, and quality of provider network, quality of service, andreputation. Below is a general description of our principal competitors for state contracts, members, and providers:• Multi-Product Managed Care Organizations — National and regional managed care organizations that have Medicaid members in addition to numerous commercialhealth plan and Medicare members.• Medicaid HMOs — National and regional managed care organizations that focus principally on providing health care services to Medicaid beneficiaries, many ofwhich operate in only one city or state.• Prepaid Health Plans — Health plans that provide less comprehensive services on an at-risk basis or that provide benefit packages on a non-risk basis.• Primary Care Case Management Programs — Programs established by the states through contracts with primary care providers to provide primary care services toMedicaid beneficiaries, as well as to provide limited oversight of other services.We will continue to face varying levels of competition. Health care reform proposals may cause organizations to enter or exit the market for government sponsoredhealth programs. However, the licensing requirements and bidding and contracting procedures in some states may present partial barriers to entry into our industry.10Table of ContentsWe compete for government contracts, renewals of those government contracts, members, and providers. State agencies consider many factors in awarding contracts tohealth plans. Among such factors are the health plan’s provider network, medical management, degree of member satisfaction, timeliness of claims payment, and financialresources. Potential members typically choose a health plan based on a specific provider being a part of the network, the quality of care and services available, accessibility ofhttp://sec.gov/Archives/edgar/data/1179929/000095013409005437/a51362e10vk.htm[1/6/2012 11:14:47 AM]
Page 1:
Molina Medicaid SolutionsResponse t
Page 7 and 8:
Bridging the Rivers ofChange Togeth
Page 9 and 10:
Page 11 and 12:
Page 13 and 14:
Page 15 and 16:
Page 17 and 18:
Page 19 and 20:
Page 21 and 22:
Page 23 and 24:
Page 25 and 26:
Page 27 and 28:
Page 29 and 30:
Page 31 and 32:
Page 33 and 34:
Page 35 and 36:
Page 37 and 38:
Page 39 and 40:
Page 41 and 42:
Page 43 and 44:
Page 45 and 46:
Page 47 and 48:
Page 49 and 50:
Page 51 and 52:
Page 53 and 54:
Page 55 and 56:
Page 57 and 58:
Page 59 and 60:
Page 61 and 62:
Page 63 and 64:
Page 65 and 66:
Page 67 and 68:
Page 69 and 70:
Page 71 and 72:
Page 73 and 74:
Page 75 and 76:
Page 77 and 78:
Page 79 and 80:
Page 81 and 82:
Page 83 and 84:
Page 85 and 86:
Page 87 and 88:
Page 89 and 90:
Page 91 and 92:
Page 93 and 94:
Page 95 and 96:
Page 97 and 98:
Page 99 and 100:
Page 101 and 102:
Page 103 and 104:
Page 105 and 106:
Page 107 and 108:
Page 109 and 110:
Page 111 and 112:
Page 113 and 114:
Page 115 and 116:
Page 117 and 118:
Page 119 and 120:
Page 121 and 122:
Page 123 and 124:
Page 125 and 126:
Page 127 and 128:
Page 129 and 130:
Page 131 and 132:
Page 133 and 134:
Page 135 and 136:
Page 137 and 138:
Page 139 and 140:
Page 141 and 142:
Page 143 and 144:
Page 145 and 146:
Page 147 and 148:
Page 149 and 150:
Page 151 and 152:
Page 153 and 154:
Page 155 and 156:
Page 157 and 158:
Page 159 and 160:
Page 161 and 162:
Page 163 and 164:
Page 165 and 166:
Page 167 and 168:
Page 169 and 170:
Page 171 and 172:
Page 173 and 174:
Page 175 and 176:
Page 177 and 178:
Page 179 and 180:
Page 181 and 182:
Page 183 and 184:
Page 185 and 186:
Page 187 and 188:
Page 189 and 190:
Page 191 and 192:
Page 193 and 194:
Page 195 and 196:
Page 197 and 198:
Page 199 and 200:
Page 201 and 202:
Page 203 and 204:
Page 205 and 206:
Page 207 and 208:
Page 209 and 210:
Page 211 and 212:
Page 213 and 214:
Page 215 and 216:
Page 217 and 218:
Page 219 and 220:
Page 221 and 222:
Page 223 and 224:
Page 225 and 226:
Page 227 and 228:
Page 229 and 230:
Page 231 and 232:
Page 233 and 234:
Page 235 and 236:
Page 237 and 238:
Page 239 and 240:
Page 241 and 242:
Page 243 and 244:
Page 245 and 246:
Page 247 and 248:
Page 249 and 250:
Page 265:
Page 272 and 273:
Page 274 and 275:
Page 276 and 277:
Page 278 and 279:
Page 280 and 281:
Page 282 and 283:
Page 284 and 285:
Page 286 and 287:
Page 288 and 289: Bridging the Rivers ofChange Togeth
Page 336 and 337: e10vkTable of ContentsItem 1:Overvi
Page 340 and 341: e10vkservices, and reputation or na
Page 342 and 343: e10vkIf our government contracts ar
Page 344 and 345: e10vkIf our cost increases resultin
Page 346 and 347: e10vkour board of directors. Becaus
Page 348 and 349: e10vkFirst Quarter $ 44.94 $ 23.46S
Page 350 and 351: e10vkTable of ContentsCertain compo
Page 352 and 353: e10vkNevada 8,037 1,106.45 9,099 1,
Page 354 and 355: e10vkInvestment IncomeInvestment in
Page 356 and 357: e10vkand 2007, respectively. EBITDA
Page 358 and 359: e10vk$2.8 million, or $0.10 per dil
Page 360 and 361: e10vkREPORT OF INDEPENDENT REGISTER
Page 362 and 363: e10vk65Table of ContentsMOLINA HEAL
Page 364 and 365: e10vkDelegated Provider InsolvencyC
Page 366 and 367: e10vk2007 (see Note 11, “Long-Ter
Page 368 and 369: e10vk$ 252,380 $ 248,039Gross reali
Page 370 and 371: e10vkTable of ContentsMOLINA HEALTH
Page 372 and 373: e10vk$10.9 million, and $7.9 millio
Page 374 and 375: e10vkIn July 2008, our board of dir
Page 376 and 377: e10vkThe Registrant has an equity i
Page 378 and 379: e10vkSIGNATURESPursuant to the requ
Page 380 and 381: exv12w1EX-12.1 2 a51362exv12w1.htm
Page 388 and 389:
e10vkEX-31.1EX-31.2EX-32.1EX-32.2Ta
Page 390 and 391:
e10vkLeverage operational efficienc
Page 392 and 393:
e10vkhealth plans. Among such facto
Page 394 and 395:
e10vkMissouri and Ohio health plans
Page 396 and 397:
e10vkWe are subject to various rout
Page 398 and 399:
e10vkIt may be difficult for a thir
Page 400 and 401:
e10vkItem 5:PART IIMarket for Regis
Page 402 and 403:
e10vkstates to exclude certain bene
Page 404 and 405:
e10vkMedical care ratio 86.8% 84.8%
Page 406 and 407:
e10vkTable of ContentsMedical care
Page 408 and 409:
e10vkare required to pay a fee for
Page 410 and 411:
e10vkknown. While we believe our cu
Page 412 and 413:
e10vkTable of ContentsMOLINA HEALTH
Page 414 and 415:
e10vkYear Ended December 31,2009 20
Page 416 and 417:
e10vkCalifornia $ 481,717 $ 417,027
Page 418 and 419:
e10vkMOLINA HEALTHCARE, INC.NOTES T
Page 420 and 421:
e10vk2008, we had transitioned fewe
Page 422 and 423:
e10vknot intend to sell, nor is it
Page 424 and 425:
e10vk87Table of ContentsMOLINA HEAL
Page 426 and 427:
e10vkDuring 2009, 2008, and 2007, t
Page 428 and 429:
e10vk$29.17 - $30.05 9,350 5.9 $ 29
Page 430 and 431:
e10vk(1) The Registrant’s condens
Page 432 and 433:
e10vkChanges in Internal Controls:
Page 434 and 435:
e10vkSignature Title Date/s/ Joseph
Page 436 and 437:
exv10w22Commitments exceed the sum
Page 438 and 439:
exv10w22Loan Document. The amendmen
Page 440 and 441:
exv10w22Name:Title:Fifth Amendment
Page 442 and 443:
exv10w22Fifth Amendment to Credit A
Page 444 and 445:
exv10w24EX-10.24 3 a55407exv10w24.h
Page 446 and 447:
exv10w24Molina ECMS ref# 729 Provid
Page 448 and 449:
Page 450 and 451:
exv10w24HSA — Hospital Services A
Page 452 and 453:
exv10w243.2 Member Eligibility Dete
Page 454 and 455:
exv10w245.6 Amendment. Health Plan
Page 456 and 457:
exv10w24HSA — Hospital Services A
Page 458 and 459:
exv10w24License No. StreetNPI (or U
Page 460 and 461:
exv10w24Page 23 of 40ATTACHMENT CPr
Page 462 and 463:
exv10w24• This reimbursement meth
Page 464 and 465:
Page 466 and 467:
exv10w24(Rule 53250(e)(4))8. Provid
Page 468 and 469:
exv10w241. Right to Audit. Provider
Page 470 and 471:
exv10w24Treasurer G. William Hammer
Page 472 and 473:
exv10w25unless the situation is one
Page 474 and 475:
exv10w25Plan in identifying, proces
Page 476 and 477:
exv10w25Page 9that the offset and r
Page 478 and 479:
exv10w25under this Agreement.h. Hea
Page 480 and 481:
exv10w25Page 16Date 6/1/06ATTACHMEN
Page 482 and 483:
exv10w25that Provider is de-delegat
Page 484 and 485:
exv10w25the subscriber or Member by
Page 486 and 487:
exv10w25discretion, that Provider h
Page 488 and 489:
exv10w252.5 Annual Disclosure of Ca
Page 490 and 491:
exv10w25Initials of authorizedrepre
Page 492 and 493:
exv10w25the report is true and corr
Page 494 and 495:
exv21w1EX-21.1 6 a55407exv21w1.htm
Page 496 and 497:
Page 498 and 499:
Page 500 and 501:
e10vk10-K 1 a58840e10vk.htm FORM 10
Page 502 and 503:
e10vkOur StrengthsWe focus on servi
Page 504 and 505:
e10vkevent.CompetitionWe operate in
Page 506 and 507:
e10vkat the funding for these healt
Page 508 and 509:
e10vk18Table of ContentsAlso, many
Page 510 and 511:
e10vkTable of Contentsalleged non-c
Page 512 and 513:
e10vk(fair value of $20.4 million).
Page 514 and 515:
e10vkTable of ContentsSTOCK PERFORM
Page 516 and 517:
e10vkAs of December 31, 2010, our h
Page 519 and 520:
e10vkYear Ended December 31,2010 20
Page 521 and 522:
e10vkAcquisitionsWisconsin Health P
Page 523 and 524:
e10vkspecific performance measures
Page 525 and 526:
e10vkoverestimations were tied to o
Page 527 and 528:
e10vkIntangible assets, net 105,500
Page 529 and 530:
e10vkOur Health Plans segment compr
Page 531 and 532:
e10vkSituations may arise where the
Page 533 and 534:
e10vkinvestment fund. As of Decembe
Page 535 and 536:
e10vk87Table of ContentsMOLINA HEAL
Page 537 and 538:
e10vk7. ReceivablesHealth Plans seg
Page 539 and 540:
e10vkTable of ContentsMOLINA HEALTH
Page 541 and 542:
e10vkindebtedness under the Credit
Page 543 and 544:
e10vkstatutory capital and surplus
Page 545 and 546:
e10vkCash paid in business purchase
Page 547 and 548:
e10vkItem 12.Security Ownership of
Page 549 and 550:
exv10w27EX-10.27 2 a58840exv10w27.h
Page 551 and 552:
exv10w27(f) all transferable or ass
Page 553 and 554:
exv10w27and other charges have been
Page 555 and 556:
exv10w27under or affecting the Prop
Page 557 and 558:
exv10w27BY A GENERAL RELEASE, WHICH
Page 559 and 560:
exv10w27(f) Seller’s share of the
Page 561 and 562:
exv10w2710.6 Items Not to be Prorat
Page 563 and 564:
exv10w27- 21 -(i) Delinquency Repor
Page 565 and 566:
exv10w27executed, and delivered by
Page 567 and 568:
exv10w27MATERIALS THAT PERTAIN TO T
Page 569 and 570:
exv10w27Attn: General CounselTeleph
Page 571 and 572:
exv10w2718.16 Authority. The indivi
Page 573 and 574:
Page 575 and 576:
Page 577 and 578:
Page 579:
show all

Molina Medicaid Solutions - DHHR

Create successful ePaper yourself

Delete template?

Save as template?