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Recent Updates


New Prior Authorization (PA) Code Lists will be effective August 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 is effective 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.
 Question and Answer Sessions:
·        Wed., Aug. 1, 11:30 a.m. to 12:30 p.m. meeting number 803 556 866
·        Wed. Aug. 22, 3 to 4 p.m. meeting number 808 012 182
·        Mon. Aug. 27, 11 a.m. to 12 p.m. meeting number 807 863 111
 
Provider Portal Claims Training sessions:
·        Tues., Aug. 7, 1 to 2 p.m. meeting number 801 718 905
·        Fri., Aug. 17, 1:30 to 2:30 p.m. meeting number 802 005 677
 
WebEx meetings do not require a password. Click “Join” at WebEx.com or call (855) 665-4629 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.

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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