“I love working with Molina, their claim department is responsive and efficient”
Dr. Marina Jones
Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.
If you have any questions, please call Provider Services at 1-855-322-4076.
Effective October 25, 2016, Molina Healthcare of Florida, Inc. ("Molina"), in collaboration with the Agency for Health Care Administration ("AHCA"), will begin accepting crossover claims from the Centers for Medicare and Medicaid Services ("CMS") for dual-eligible, Molina Medicaid members covered by traditional, fee-for-service Medicare. Providers will no longer be required to submit secondary claims to Molina, as the claim will cross over automatically.
This change does not apply to Molina Medicaid members enrolled in a Medicare Part C (Medicare Advantage) plan. Providers must continue to file secondary claims to Molina for these members.
If you have any questions about this communication, please contact Provider Services at (855) 322-4076.
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Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.
It is important to Molina Healthcare and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at: providersearch.molinahealthcare.com to validate your information and notify us if there are any updates.
Please notify Molina Healthcare at least 30 days in advance when you have any of the following:
First Steps in Taking Care of Your Diabetes
Simple Steps to Manage Diabetes
ICD10 Implementation Update
Molina Healthcare has fully implemented ICD-10. Have questions? Looking for additional information?Learn more.
LTSS Quick Reference Guide
Looking for information about requesting authorization or submitting a claim for Long-Term Services and Supports? Learn more.