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Molina Health Care - Your extended Family

 

Recent Updates


New Prior Authorization (PA) Code Lists will be effective Feb. 1, 2018. View them here: Medicaid/MMP Medicaid Only/Marketplace | Medicare/MMP Duals
Effective Feb. 1, providers will be required to submit specific laboratory specimens to in-network clinical laboratories. To learn more, click here.
Attention Behavioral Health (BH) Providers: The BH Redesign is effective Jan. 1, 2018 and the Carve-In to Medicaid Managed Care will begin July 1, 2018. Find Ohio Department of Medicaid (ODM) BH updates and resources here. View the Molina Healthcare BH Redesign Provider Training here. Additional resources are available under the "Health Resources" tab above and our Claims Features Training is available here.
Behavioral Health Question and Answer Sessions:
Mon., April 9, 10:30 to 11:30 a.m. meeting number 809 749 425
Wed., April 25, 2:30 to 3:30 p.m. meeting number 809 429 252

Provider Portal Claims Training Sessions:
 
Wed., April 4, 10:30 to 11:30 a.m. meeting number 801 661 260
Mon., April 16, 2:30 to 3:30 p.m. meeting number 801 308 183
Meetings do not require a password. Click “Join” at WebEx.com or call (855) 655-4629 and follow the instructions. 
 

Provider Data Validation

Important Reminder:

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)

 

Please use the PIF Form to make these changes. ​​

Reminder: Molina is GOING GREEN. 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.

Quick Links

Episode Based Payment Model
Provider Information Update Form
PA Code List - Medicaid/Marketplace
PA Code List - Medicare 
Preferred Drug List (PDL)
Provider Bulletin
Provider Manual
Hypertension Provider Toolkit ​​
Pregnancy Scheduling Calendars

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