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Recent Updates


New Prior Authorization (PA) Code lists will be effective Oct. 1, 2017. View them here: Medicaid/MMP Medicaid Only/Marketplace  |  Medicare/MMP Duals
Effective Oct. 1, 2017, Clear Coverage will no longer be used for Prior Authorizations (PA).  View additional information here.
Molina Healthcare is transitioning to MCG in phases beginning July 1, 2017 for all inpatient and behavioral health outpatient authorizations, find out more here.
Effective Aug. 1, 2017, Molina Healthcare of Ohio adopted the Enhanced Ambulatory Patient Group (EAPG) payment methodology for outpatient hospital claims. Find out more here.
The Rx Prior Authorization List (PA List) is updated effective Oct. 1, 2017.  All medications on the PA List require prior authorization.  View the PA List here 
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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.​​

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.

Your Opinion Matters to Molina

Email us to share your comments, concerns or ideas. Your feedback is important to us. Let us know what we're doing well and what we can do to improve. 

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