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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:

Sat., Feb. 3, 9 to 10 a.m. meeting number 803 256 470
Sat., Feb. 10, 10 to 11 a.m. meeting number 806 226 585
Tue., Feb. 13, 1 to 2 p.m. meeting number 800 645 715
Thu., Feb. 15, 2 to 3 p.m. meeting number 800 295 397
Sat., Feb. 17, 10:30 to 11:30 a.m. meeting number 800 576 612
Sat., Feb. 24, 11:30 a.m. to 12:30 p.m. meeting number 804 170 729
Mon., Feb. 26, 11 a.m. to 12 p.m. meeting number 809 016 896

Provider Portal Claims Training Sessions:
Tue., Feb. 6, 1 to 2 p.m. meeting number 808 312 948
Wed., Feb. 14, 1 to 2 p.m. meeting number 807 158 535
Thu., Feb. 22, 2 to 3 p.m. meeting number 800 048 286
Tue., Feb. 27, 1 to 2 p.m. meeting number 801 019 297
Meetings do not require a password. Click “Join” at WebEx.com or call (855) 655-4629 and follow the instructions. 
Behavioral Health Provider Forums:
Columbus: Thu., Feb. 1, 10:30 a.m. to 1:30 p.m.
Athens: Fri., Feb. 2, 10:30 a.m. to 1:30 p.m.
Cleveland: Tue., Feb. 6, 9:30 to 11:30 a.m. or 1 to 3 p.m.
 
Register for the forums at http://www.eventbrite.com and search “MCO BH Provider Forum.”

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.

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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