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Welcome, Ohio Health Care Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.

If you have any questions, please call Provider Services at (855) 322-4079.

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.

Start using Clear Coverage™ today on the Molina Healthcare Provider Portal. Contact your Provider Relations representative for training, or join one of our monthly training sessions listed below.
 
Friday May 15, 9 to 10 a.m.
Meeting Number 802 603 390
Friday June 19, 9 to 10 a.m.
Meeting Number: 807 264 474
Friday July 17, 9 to 10 a.m.
Meeting Number: 801 973 116
Friday Aug. 21, 9 to 10 a.m.
Meeting Number: 805 366 905
Friday Sept. 18, 9 to 10 a.m.
Meeting Number: 803 004 149
Friday Oct. 16, 9 to 10 a.m.
Meeting Number: 801 799 357
Friday Nov. 20, 9 to 10 a.m.
Meeting Number: 806 276 815
Friday Dec. 18, 9 to 10 a.m.
Meeting Number: 805 273 116
 
To join a meeting by phone, call: (855) 665-4629
 
To join a meeting from your computer or mobile device:
1.    Go to the Molina Healthcare WebEx page.
2.    If requested, enter your name and email address.
3.    This meeting does not require a password.
4.    Click "Join."
5.    Follow the instructions that appear on your screen. 

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

Check Member Eligibility & Benefits button

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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.

Primary Rate Increase Payments
IMPORTANT NOTICE:
Outstanding 2014 claims impacted by the primary care rate increase (PCRI) must be processed by May 31 to receive the enhanced payment. We ask that you please submit all 2014 claims eligible for a PCRI payment as soon as possible, but suggest no later than May 15.Click here to read more in the May Provider Bulletin.

Recipient of Columbus Business First’s Corporate Caring Award

Molina Healthcare of Ohio was recognized with a Columbus Business First Corporate Caring Award for its civic involvement and volunteer activities in the community. Click here to read more.

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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