For Molina Members About Molina
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Welcome, Florida Healthcare Providers

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.

Institutional Billing Requirements

Effective August 1, 2017, Molina Healthcare will configure our claims reimbursement systems to require all institutional claims to comply with the guidelines described in the Provider Reimbursement Handbook, UB-04.

The updates will include specific requirements for Institutional Encounter Data, including but not limited to:

  • Value Codes for Inpatient Institutional Claims
  • Bill Types for Hospice
  • Interim Institutional Claims
  • Type of Bill Codes

To review the updates and ensure adherence to the system requirements and avoid any Claims Denials, please click here.

Thank you for your compliance, and if you have any questions about this or any other communication, please contact MFL Provider Services at 855-322-4076 or email us at: MFLProviderService@MolinaHealthcare.com.​​​​

Change in Transportation Provider for MMA and LTC

Please be advised that effective June 1, 2017, Secure Transportation will be the statewide primary non-urgent transportation vendor for Molina Healthcare of Florida for MMA and LTC lines of business. Secure Transportation is a national ground transportation company serving customers since 1980.

To make an appointment for a transportation service after June 1, 2017, members and providers may contact Secure Transportation's reservation line at (877)775-7340, Monday –Friday, 8:00AM –8:00PM EST.

Members do not need to cancel their scheduled rides with Logisticare. Secure Transportation is working with Logisticare to ensure members continue to receive transportation services, whether or not the transportation provider is in Molina's network. Molina is required to authorize and pay for previously scheduled services for up to 60 days from the effective date of this change.

You may contact Molina's Provider Services Department at 1-855-322-4076 for any questions or concerns. Thank you for your assistance and cooperation as we transition to Molina's new non-urgent transportation services vendor.

Sincerely,
Provider Services Department
Molina Healthcare of Florida, Inc.

Service Location Requirement for Professional Claims

In order to ensure appropriate reimbursement of professional claims for providers whose contracted fees are based on Medicare rates, Molina Healthcare of Florida will now require service locations on the CMS-1500 form, box 32, and its electronic equivalent.

Medicare rates are determined, in part, by the specific locality in which a service is rendered. Therefore, the service location must be included on the claim to ensure that the correct locality rate is selected during claims adjudication, and reduce miscalculated payments.

If your rates are based on a percentage of Medicare's fee schedule for any contracted line of business, including Medicaid and Marketplace, you must include service locations on your claims as of March 1, 2017. Failure to include service locations on your professional claims may result in claims denials.

If you have any questions regarding this communication, please contact Provider Services at 855-322-4076.​

Provider Services Portal

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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.

Reminder: Molina is GOING GREEN as of July 1st and all claims need to be submitted through an EDI Clearinghouse or via Molina's Provider Portal. Please contact our Provider Services team if you have any questions.

Providers

Molina's MMA Physician Incentive Program

Click here
 
 
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Doctor

Free Online CME Credits!!

Primary Care Providers - To Earn Extra CME Credits - Click Here

Important Reminder:

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:

  • • Change in office location,
       office hours, phone, fax, or email
  • • Addition or closure of office location
  • • ​Addition or termination of a
       provider
  • • Change in Tax ID and/or NPI
  • • Open or close your practice to new
       patients (PCPs only)

LTSS Quick Reference Guide

Looking for information about requesting authorization or submitting a claim for Long-Term Services and Supports? Learn more.​

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