Order 24-0009

Order Summary
$100,000 fine levied by terminating the health plan coverage of enrolled participants in error, incorrectly processing claims by applying inaccurate cost-share reductions, and retrospectively denying claims for services that received prior authorization, the Company violated RCW 48.46.060(6), RCW 48.43.525(1), and WAC 284-43-0120, justifying the imposition of a fine under RCW 48.46.135.
Entities Named in the Order
Entity Name Location
MOLINA HEALTHCARE OF WASHINGTON INC BOTHELL, WA
Order Documents
Order Type Issue Date Effective Date
Consent Order with Fine 02/14/2024 03/08/2024

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