UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM 8-K
Current Report
Pursuant to Section 13 or 15(d) of the
Securities Exchange Act of 1934
Date of Report (Date of earliest event reported): December 20, 2011
MOLINA HEALTHCARE, INC.
(Exact name of registrant as specified in its charter)
| Delaware | 1-31719 | 13-4204626 | ||
| (State of incorporation) | (Commission File Number) |
(I.R.S. Employer Identification Number) |
200 Oceangate, Suite 100, Long Beach, California 90802
(Address of principal executive offices)
Registrant’s telephone number, including area code: (562) 435-3666
Check the appropriate box below if the Form 8-K filing is intended to simultaneously satisfy the filing obligation of the registrant under any of the following provisions:
| ¨ | Written communications pursuant to Rule 425 under the Securities Act (17 CFR 230.425) |
| ¨ | Soliciting material pursuant to Rule 14a-12 under the Exchange Act (17 CFR 240.14a-12) |
| ¨ | Pre-commencement communications pursuant to Rule 14d-2(b) under the Exchange Act (17 CFR 240.14d-2(b)) |
| ¨ | Pre-commencement communications pursuant to Rule 13e-4(c) under the Exchange Act (17 CFR 240.13e-4(c)) |
| Item 7.01. | Regulation FD Disclosure. |
On December 20, 2011, Molina Healthcare, Inc., a Delaware corporation, issued a press release announcing that the State of Maine’s Medicaid Management Information System received full federal certification from the federal Centers for Medicare and Medicaid Services (CMS). The Maine Integrated Health Management Solution (MIHMS) was designed and implemented by Molina Healthcare’s wholly owned subsidiary, Molina Medicaid Solutions. The full text of the press release is included as Exhibit 99.1 to this report.
The information in this Form 8-K current report and the exhibits attached hereto shall not be deemed to be “filed” for purposes of Section 18 of the Securities Exchange Act of 1934 or otherwise subject to the liabilities of that section, nor shall it be deemed incorporated by reference in any filing under the Securities Act of 1933 or the Securities Exchange Act of 1934, except as expressly set forth by specific reference in such a filing.
| Item 9.01. | Financial Statements and Exhibits. |
| (d) | Exhibits: |
| Exhibit No. |
Description | |
| 99.1 | Press release of Molina Healthcare, Inc. issued December 20, 2011, regarding Maine Medicaid Management Information System certification. | |
SIGNATURE
Pursuant to the requirements of the Securities Exchange Act of 1934, the registrant has duly caused this report to be signed on its behalf by the undersigned hereunto duly authorized.
| MOLINA HEALTHCARE, INC. | ||||
| Date: December 20, 2011 | By: /s/ Jeff D. Barlow | |||
| Jeff D. Barlow Sr. Vice President – General Counsel, and Secretary | ||||
EXHIBIT INDEX
| Exhibit No. |
Description | |
| 99.1 | Press release of Molina Healthcare, Inc. issued December 20, 2011, regarding Maine Medicaid Management Information System certification. | |
Exhibit 99.1
| Contact: Juan José Orellana Investor Relations 562-435-3666, ext. 111143 |
Sunny Yu Public Relations 562-901-1039 |
MOLINA’S MEDICAID CLAIMS PROCESSING SYSTEM
RECEIVES FULL FEDERAL CERTIFICATION IN MAINE
State of Maine to Receive Maximum Federal Funding for New System
AUGUSTA, Maine (December 20, 2011)—Maine’s Department of Health and Human Services and Molina Healthcare, Inc. (NYSE:MOH) announced today that the State’s Medicaid Management Information System received full federal certification from the federal Centers for Medicare and Medicaid Services (CMS). The Maine Integrated Health Management Solution (MIHMS) was designed and implemented by Molina Healthcare’s wholly owned subsidiary, Molina Medicaid Solutions.
As a result of certification, the Maine Integrated Health Management Solution system has been found to meet the standards of CMS for a certified claims management system. This will allow Maine to claim 75 percent reimbursement for ongoing operations retroactive to September 1, 2010 – the date that the system began processing claims.
As part of the certification process, the new system underwent a rigorous weeklong on-site review by CMS. In a letter to Maine DHHS Commissioner Mary Mayhew, CMS Associate Regional Administrator Richard McGreal wrote:
“The certification visit did result in findings, but none that would prevent CMS from approving the state’s retroactive federal financial participation… Although we think [our] recommendations would improve the operating efficiencies of the MMIS, the state is not obligated to implement the recommendations.”
Commissioner Mayhew noted the need for continued improvement and praised those who have worked diligently to move the system through the certification process.
“While we still have some work to do, CMS’ decision confirms that our claims management system is of high quality and will serve DHHS and those who provide services for years to come,” she said. “This milestone is a direct result of the collaborative and tireless efforts of our DHHS staff, Molina and many other partners who offered help along the way.”
Certification is an especially significant milestone because Maine’s previous Medicaid Management Information System had not received this distinction and the system’s problems were well-documented.
“We’re extremely pleased that the federal certification will allow the State of Maine to receive enhanced federal matching funds. We look forward to our continued work with DHHS to provide the best support for Maine’s providers and Medicaid recipients,” said Norm Nichols, president of Molina Medicaid Solutions.
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Maine CMS Certification
Page 2
Since September 1, 2010, the Maine Integrated Health Management Solution system has been processing approximately one million claims a month and paying nearly 3,000 providers each week.
About Molina Healthcare, Inc.
Molina Healthcare, Inc. provides quality and cost-effective Medicaid-related solutions to meet the health care needs of low-income families and individuals and to assist state agencies in their administration of the Medicaid program. Our licensed health plans in California, Florida, Michigan, Missouri, New Mexico, Ohio, Texas, Utah, Washington, and Wisconsin currently serve approximately 1.7 million members, and our subsidiary, Molina Medicaid Solutions, provides business processing and information technology administrative services to Medicaid agencies in Idaho, Louisiana, Maine, New Jersey, and West Virginia, and drug rebate administration services in Florida. More information about Molina Healthcare is available at www.molinahealthcare.com.
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