“I love working with Molina, their claim department is responsive and efficient”
Dr. Marina Jones
Do not bill MyCare Ohio enrollees for Medicare cost-sharing amounts. "Balance billing" is prohibited by federal law and your Provider Services Agreement. Learn more.
Payment can be made for both a well visit and sick visit for the same member on the same date of service if the diagnosis codes support the need for both. The well visit must be billed with modifier 25. Learn more.
Inpatient and outpatient prior authorization (PA) requests must now be submitted via the Web Portal or fax. Phone and email requests are no longer accepted effective April 11. Learn more.
Provider Bulletin Going Green – We're moving to paperless distribution. If you receive the Provider Bulletin via mail, send us your TIN and email address to ensure you keep getting important updates.
Please notify Molina Healthcare at least 30 days in advance when you have any of the following:
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