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Prevent EPSDT Claim Denial

Don't forget to complete the referral field indicator (field 24h) on Early Periodic Screening, Diagnosis and Treatment (EPSDT) claims. Your claim may be denied if this field is not complete.

Click here to learn more in the July Provider Bulletin - Special Edition.

Instant Updates with Clear Coverage

When you need an immediate update on your authorization request, you can rely on Clear Coverage™ to be fast and efficient. Clear Coverage™ is a web-based system that gives automatic approvals to many services. Also, the system offers real time authorization status. In the event that a service is denied, it is uploaded to the Molina Healthcare authorization system and viewed by a clinical staff member within a reasonable time frame.

Click here to learn more about Clear Coverage™ and find out how to get training. Start using Clear Coverage™ today on the Molina Healthcare Provider Portal.

Your Patients’ Medicaid Renewal Deadline

It may be time for your Medicaid and MyCare Ohio patients to renew their Medicaid eligibility. For your patients to qualify to keep their Medicaid and MyCare Ohio health benefits, they have to report their income to the County Department of Job and Family Services (CDJFS/JFS) every 12 months.

Tens of thousands of Ohioans could lose their health care benefits if they do not report their income. Click here to learn more.

Provider Services Portal

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Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.

Immunization Status
Providers often see an increase in well visits from June to September, making this the ideal time to review for missing vacinations. Be sure to review the immunization record before the visit and use a system for patient reminders.
Click here for more tips from the August Provider Bulletin.  

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.

ICD10 Implementation Update

Molina Healthcare is preparing for the ICD10 implementation coming 10/1/15. Have questions? Interested in testing?​ Learn more.

ICD10 Provider Readiness Survey

ICD10 implementation is coming soon! Are you ready? Take our Provider Readiness Survey.

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