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New Transportation Vendor

Molina Healthcare has a new vendor, Secure Transportation, that will take over services provided by Logisticare for Medicaid members on Nov. 1, 2015 and MyCare Ohio and Medicare members on Jan. 1, 2016.

Click here to learn more in the October Provider Bulletin.

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.

Annual Mandatory SNP Model of Care Training

​CMS requires all contracted Medicare medical providers to complete an annual basic training about the Special Needs Plan (SNP) Model of Care by Dec. 31. 

Click here to view the training. After reviewing the training, sign the form on the last page of the November Provider Bulletin and fax it to (866) 713-1894, ATTN: Latanya Powell or email it to OHProviderRelations   

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 for more tips from the Molina Healthcare EPSDT Billing Guide.  

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.

ICD-10 Implementation Update

The transition to ICD-10 implementation became effective 10/1/15. Have questions? Interested in testing?​ Learn more.

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