Contract Request Form
The file(s) below are in PDF format ( )
HIPAA NPI Update - Transition to 5010
HIPAA Transactions Update - Transition to 5010
Income Guidelines for CHIP/Children's Medicaid
CHIP Cost Sharing Changes - Effective March 2012
CHIP Immunization Requirements Reminder
EFT ERA Enrollment Instructions
Non-Participating Provider Flyer
Behavioral Health CHIP Prior Authorization Guide
Medical Prior Authorization Guide - Effective April 2011
Bexar Service Area - May El Paso Service Area - March to April Dallas Service Area - November to March Jefferson Service Area - November to March Hidalgo Service Area (Laredo/Eagle Pass) - May to August Hidalgo Service Area (Rio Grande Valley) - May to June
Acute Care Provider Town Hall Meeting - Hidalgo Service Area Provider Meeting Notice from TAHCH
The document includes detail on the Health Management Programs as well as other criteria used for the profile. This information supplements the member profile mailing to providers each year.
2011 Health Management Member Profile Information
Adobe Acrobat Reader is required to view the file(s) above. Download a free version.
Molina now offers Medicare plans that provide all of the benefits covered under original Medicare and more.
