Provider Bulletin

Provider Bulletin: PNM: Inactive Status, Advanced Imaging PA Submission Change, Optum Prepayment Claim Review, EVV: Claims Adjudication, Remind Patients: Healthchek, Quality Living Program Awardees, Molina Expands Partnership: Evolent Health, Live Provider Training Sessions, Q3 PA Code Changes for OncologyAugust

Quality Provider Bulletin: Follow-up Care and Readmission Reductions, Glycemic Status Assessment for Patients with Diabetes (GSD), Healthy Children and Adults, Molina Incentivizes Healthy BehaviorsAugust

Provider Bulletin - Special Edition: Updated Launch Date: Expanded Partnership with Evolent Health April

Provider Bulletin: Molina Expands Partnership with Evolent Health, Live Provider Training Sessions, ODM Provider Appointment Access and Availability Surveys, Observation Status, HCBS Waiver: Assisted Living Update, Professional Claims Limit of 50, EVV: Live-In Caregivers, EVV: GPS Consent Form, EVV: Training, Itemized Statement Requirements, Provider Hours Requirement, Dental Reminder, Q2 Provider Newsletter, Q3 PA Code Changes for OncologyJuly

Provider Bulletin: Live Provider Training Sessions, Q3 PA Code Changes, Notice of Changes to Provider Manual, UPDL: 30-Day Change Notice, Availity Essentials Portal: HEDIS Profile, Molina Provider Surveys, Balance Billing, OhioRISE Mixed Services Protocol, LGBTQ+ Covered Services, Molina Expands Partnership with Evolent Health, Website Roundup, Diabetes Benefits Update in 2024, Hospice and Vent/Vent Weaning Billing Guidelines, In Case You Missed ItJune

Quality Provider Bulletin: Diabetes Self-Management Education, Provider Messaging Most Powerful for Patients, Child and Adolescent Well Visits, Annual Adult Visits, Antidepressant Medication Management, Disparities and Health Equity in LGBTQ+ SeniorsMay

Provider Bulletin: Live Provider Training Sessions, ODM Update: Terminations Resuming for Failure to Complete Medicaid Agreement Revalidations in PNM, Reimbursement Policy: DME Rental vs. Purchase, Home Health Authorization Requests for Special and Complex Needs, MCOs Reinvest in Ohio Communities, Drugs Carved Out: Fee-for-Service, Requests for Retrospective Authorization, Quality Living Program Awardees, PA Requirements: Non-Par Providers, Ownership and Control Disclosure Form Requirements, Molina of Ohio Check Runs, Review Phone Numbers in the PNM, Website Roundup, CMS Final Rule for CY24: BH Changes, In Case You Missed ItMay

Provider Bulletin - Special Edition: Update April 5, 2024: Optum-Change Healthcare OutageApril

Provider Bulletin - Special Edition: Annual Mandatory D-SNP Medicare Model of Care Training April

Provider Bulletin: New Provider Bulletin Layout, New Molina CES Edit 9162 Not a Principal Diagnosis Code, Cost of Poverty Experience (COPE) Simulation, Annual Mandatory Model of Care Training, Q1 Provider Newsletter, Provider Training Sessions, In Case You Missed It April

Provider Bulletin - Special Edition: Update March 18, 2024: Optum-Change Healthcare OutageMarch

Provider Bulletin - Special Edition: Update: Optum-Change Healthcare OutageMarch

Provider Bulletin: Provider Bulletin Survey, Q2 PA Code Changes, Optum-Change Healthcare, 2024 HEDIS, TenderHeart Health Outcomes, Annual Wellness Visits, Acupuncture Services, How to Understand Advances, UPDL: 30-Day Change Notice, Website Roundup, Did You Know: Help Finder, Emailing PHI Securely, Americans with Disabilities Act, Demographic Info: Fax Number, CMS: Appt Times & Specialties, Provider Training Sessions, Provider Manual Update, ODM Update, Post-Stabilization, You Matter to Molina, Cotiviti Drug & Biological Edits, Coordinated Services Program, CMS: BH Changes, Medicaid Renewals, CES Edit 9531, MCG Auto-Auth Adv. Imaging, Hemgenix & Roctavian, Diabetes Benefit Updates, PA Request Forms Reminder, Enrollment Requirements, Availity Appeals SubmissionMarch

Provider Bulletin – Special Edition: Cultural CompetencyMarch

Provider Bulletin – Special Edition: Update: Optum-Change Healthcare OutageFebruary

Provider Bulletin – Special Edition: Optum-Change Healthcare OutageFebruary

Quality Provider Bulletin: Voice of the Customer, Controlling Blood Pressure, The Great Paradigm Shift, Older Adults are Embracing TechnologyFebruary

Provider Bulletin: ODM Update: Terminations to Resume for Failure to Complete Medicaid Agreement Revalidations in PNM, Post-Stabilization, You Matter to Molina, New Molina Cotiviti Drug and Biological Edits, New Molina CES Edit 9531 Inappropriate Modifier to Diagnosis Combination, Molina Policy COVID-19 Bypasses, Provider Training Sessions, OhioRISE Mixed Services Protocol Updated, Prior Authorization (PA) Code Update: 0345U, Hemgenix and Roctavian Coverage, Reimplementation of the Coordinated Services Program, CMS Final Rule for CY24: Appointment Wait Time Standards and List of Evaluated Specialties Update, MCG Auto-Authorization Advanced Imaging, PsychHub Information, CMS Final Rule for CY24: BH Changes, Quality Living Program Awardees, Updated: Notice of Changes to the Provider Manuals, ePRAF: Technical Assistance Intervention Package, Updated: New ODM BH Provider Manual and Rates, Dental Credentialing Update, ePRAF: Quality Enhancer Incentive Program, Claim Hold on Marketplace PPS, Diabetes Benefits Update in 2024, Process for Submitting EDI Inquiries to Molina, Third Party Liability Exception, Real-Time Claim Adjustments, PA Request Forms, Medicaid Enrollment Requirements, Claim Status Secure Messaging: Availity, Medicaid Renewals, New Availity Function: Submit and Track Appeals, EOP Refund and Forwarding Balance EnhancementFebruary

Provider Bulletin – Special Edition: Significant Updates for 2024 Medicaid Provider ManualJanuary

Provider Bulletin: Updated: Molina Policy COVID -19 Bypasses, PA Code Update: 0345U, New Functionality in Availity: Submit and Track Appeals, Reimplementation of the Coordinated Services Program, Provider Training Sessions, Ohio Recovery Housing Residences Registration, OhioRISE Mixed Services Protocol Updated, Claim Hold on Marketplace Prospective Payment System, Updated: Notice of Changes to the Provider Manuals, Medicaid Renewals, New ODM Behavioral Health Provider Manual and Rates, Q4 Provider Newsletter, PA Request Forms Reminder, Evaluation and Management (E&M) Reminder, CMS Final Rule for CY24: Appointment Wait Time Standards and Additional Professionals Included on the List of Evaluated Specialties, CMS Final Rule for CY24: Behavioral Health Changes, Update: New Century is Now Evolent, ODM Source of Truth for Provider Data, Review Your Molina Medicaid Member's Renewal Date in Availity, ODM Rate Updates for 2024, New Medicare PA Guide, Forms, Diabetes Benefits Update in 2024, Medicaid Enrollment Requirements, ePRAF: Technical Assistance Intervention Package, EOP Refund and Forwarding Balance Reporting Enhancement, ePRAF: Quality Enhancer Incentive Program, HEDIS Measure: Transitions of Care, Molina CES Edit 9534 – Modifier GZ, New Molina CES Edit 9056 – Unspecified Code, Retirement of Episode-Based Payment Model Reports, Optum Prepayment Claim Audit, Claim Status Secure Messaging: Availity Essentials Portal, Dental Credentialing UpdateJanuary

Provider Bulletin - Special Edition: Significant Updates for 2024 MyCare Ohio Provider ManualDecember

Provider Bulletin: PA Code List Update, Retirement: Episodes of Care, New Name: Provider Relations, CES Edit 9056, CES Edit 9534, Prepayment Claim Audit, HEDIS: Transitions of Care, Real-Time Claim Adjustments, Secure Message: Claim Status, Non-Contract Provider Guide, Dental Credentialing Update, UPDL: 30-Day Change Notice, Cultural Competency Training, Website Roundup, New Century is Now Evolent, Medicare PA Guide and Forms, Provider Training Sessions, Changes to Provider Manual, EOP Refund, Annual Model of Care, Source of Truth, TenderHeart Health Outcomes, Respiratory Syncytial Virus, Electronic Visit Verification, 2023/2024 Open Enrollment, Enrollment RequirementsDecember

Quality Provider Bulletin: Breast and Cervical Cancer Screenings - Member Incentives, Improving Follow-up After Hospitalization for Mental Illness (FUH) Rates, Childhood Immunizations, Schedule and Complete Adult Annual Visits Before End of Year, Diabetes Self-Management Education, Diabetes CareNovember

Provider Bulletin: ODM Source of Truth for Provider Data, Respiratory Syncytial Virus Season, Electronic Visit Verification (EVV), Molina Quality Living Program Awardees, Provider Training Sessions, How to Compress Files, 2023/2024 Open Enrollment, Claim Hold on Marketplace Prospective Payment System, Medicaid Enrollment Requirements, MCG Auto-Authorization Advanced Imaging: Cite AutoAuth, Review You Molina Medicaid Member's Renewal Date in Availity, TenderHeart Health Outcomes Partnership, Marketplace Skilled Nursing Facility Per Diem, Annual Mandatory Model of Care Training, Access Standards, Corrected Claims Process, Notice of Changes to PA Requirements, Claims Reconsideration Process, Notice of Changes to the Provider Manual, Fighting Fraud, Waste and AbuseNovember

Provider Bulletin - Special Edition: Provider Network Management (PNM) Source of TruthOctober

Provider Bulletin: Hospice & Vent/Vent Weaning, 2023/2024 Open Enrollment, Marketplace Claim Hold, 2023/2024 Flu Season, CES Edit 9531, Prepayment Claim Audit, E&M Update, Dexcom Web Series: CGMs, Q3 Provider Newsletter, Molina COVID-19 Bypasses, MCG Auto-Auth Adv. Imaging, Provider Training Sessions, Prepayment Coding Validation, TenderHeart Health Outcomes, Value-Added Benefits, ORP Provider Information, Annual Model of Care, It Matters to Molina Corner, Enrollment Requirements, Renewal Date in Availity, EOP Refund Enhancements, Marketplace SNF Per Diem, Changes to PA Code List, Changes to Provider ManualOctober

Provider Bulletin: Molina Policy COVID-19 Bypasses, MCG Auto-Auth Adv. Imaging, New Prepayment Coding Validation, ORP Provider Information, CES Edit 9031 Add-On Procedure, CES Edit 9056 Unspecified Diagnosis, CES Edit 9064 Modifier 78, CES Edit 9130 Home Health Code 50, CES Edit 9523 Surgical Procedure, Annual Cultural Competency Training, Provider Hours Requirement, Americans with Disabilities Act, Remind Patients about Healthchek, UPDL: 30-Day Change Notice, Changes to PA Code List, TenderHeart Health Outcomes, Provider Training Sessions, Value-Added Benefits, Marketplace SNF Per Diem, Member Renewal Date in Availity, It Matters to Molina Corner, Medicaid Enrollment Requirements, EOP Refund Enhancements, CMC MCO Resource Guide, Annual Model of Care, Changes to Provider ManualSeptember

Provider Quality Bulletin: Back-to-School and Well-Care Visits, Annual Adult Visits, Cervical Cancer Screenings with a Look into Health Equity, Continuous Glucose Monitors, Antipsychotic Metabolic Monitoring, Older AdultsAugust

Provider Bulletin: "It Matters to Molina" Corner, Value-Added Benefits, Application of Modifier 78, New Cotiviti Edit for Lipid Testing, EOP and 835 Files Refund Reporting Enhancement, Cost of Poverty Experience (COPE) Simulation, Balance Billing, Marketplace Skilled Nursing Facility Per Diem, Annual Mandatory Model of Care Training, Ohio CMC MCO Consolidated Resource Guide, Molina Quality Living Program Awardees, Process for Submitting EDI Inquiries to Molina, Members' Obstetric and Gynecological Health Reminder, TenderHeart Health Outcomes Partnership, Annual Mandatory Model of Care Training, Quest Diagnostics: Molina's Preferred In-Network Clinical Laboratory Provider, Molina Credentialing Update, PsychHub Information on Provider Website, Behavioral Health QMHS Billing Modifier, Review Your Molina Medicaid Member's Renewal Date in Availity, Notice of Changes to PA Requirements, Fighting Fraud, Waste, and Abuse, Notice of Changes to the Provider ManualAugust

Provider Bulletin: Quest Diagnostics: Molina's Preferred In-Network Clinical Laboratory Provider, Annual Mandatory Model of Care Training, Modifier Utilization for Facility Claims, Molina Hospice and Vent/Vent Weaning Billing Guidelines, Itemized Statement Requirements, Ohio CMC MCO Consolidated Resource Guide, Q2 Provider Newsletter, National Provider Identifier (NPI) and Claim Submission, Ohio Amblyope Registry, Process for Submitting EDI Inquiries to Molina, Behavioral Health QMHS Billing Modifier, Medicaid Enrollment Requirements, TenderHeart Health Outcomes Partnership, Molina Credentialing Update, Non-Emergency Medical Transportation, Review Your Molina Medicaid Member's Renewal Date in Availity, Enteral Nutrition Payment Changes, Notice of Changes to PA Requirements, Notice of Changes to Provider Manual, Fighting Fraud, Waste, and AbuseJuly

Provider Bulletin - Special Edition: Ownership and Control Disclosure Form RequirementJune

Provider Bulletin: Process for Submitting EDI Enquiries to Molina, TenderHeart Health Outcomes Partnership, Notice of Changes to PA Requirements, Notice of Changes to the Provider Manual, Non-Emergency Medical Transportation, Add-On Procedure Codes, Psychiatric Diagnostic Evaluation Limitations, Member Renewal Date in Availity, Did You Know: Pacify, Molina Credentialing Update, Enteral Nutrition Payment Changes, FDA Withdrawal of Makena®, Nursing Coverage to Meet Personal Care Needs, Fax Submission File Size Update for Clinical Information, Ohio Pulsewrx Program for Continuous Glucose Monitoring, End of COVID-19 PHE: PASRR, A&G Mailing Address Update, Unified Preferred Drug List: 30-Day Change Notice, Molina Quality Living Program Awardees, Revenue Code 0120 Update, Reimplementation of PAs for Specific Drug Classes, Filing Expedited Service Requests or Appeals, EOP and 835 Files Refund Reporting Enhancement, Medicaid Enrollment Requirements, Women, Infants and Children (WIC), Ordering, Referring, and Prescribing Providers NPI, Molina Legacy Provider Portal Sunsetting, New Century Health Fax Number Update, Partnership with Avalon for Laboratory Benefit ManagementJune

Provider Bulletin - Special Edition: Molina Legacy Provider Portal Sunsetting, Important Information Regarding the Resumption of Medicaid Renewals, Provider Demographic Updates, Get the Molina Provider Bulletins via EmailMay

Provider Bulletin - Special Edition: Annual Mandatory D-SNP Medicare Model of Care TrainingMay

Provider Bulletin - Special Edition: End of COVID-19 Public Health Emergency (PHE)May

Provider Quality Bulletin: Electronic Prenatal Risk Assessment Form (ePRAF) and Progesterone Changes, Preventive and Sick Visits on the Same Date of Service, Tips to Improve Adult Preventive Care Visits, Health Equity and Disparities in Older Adults, Diabetes Self-Management EducationMay

Provider Bulletin: Enteral Nutrition Payment Changes, Medicaid Alert Regarding Fraud Attempts, Behavioral Health Toolkit, Surgical Procedure Anatomical Modifier, PAs for Specific Drug Classes, COVID-19 (Coronavirus) Codes, Molina EMR Messaging, FDA Withdrawal of Makena®, Molina Legacy Provider Portal Sunsetting, Fax Submission File Size Update, New Services Added to Prepayment Coding Validation, ABN Guidance, Guided Care Rebranding, New Century Health Fax Number Update, Appeals and Grievances (A&G) Mailing Address Update, Revenue Code 0120 Update, Filing Expedited Service Requests or Appeals, EOP and 835 Files Refund Reporting Enhancement, Resumption of Medicaid Renewals, Partnership with Avalon for Laboratory Benefit Management, Medicaid Enrollment Requirements, Women, Infants, and Children (WIC), Ordering, Referring, and Prescribing Providers NPI, It Matters to Molina Corner, Availity Overpayments, Changes to PA Requirements, Fighting Fraud, Waste, and Abuse, Changes to Provider ManualMay

Provider Bulletin - Special Edition: FDA Withdrawal of Makena®April

Provider Bulletin - Special Edition: Molina Legacy Portal Sunsetting, New Enhancements in Availity, Availity Provider Portal Training, Medicaid Renewals, Provider Demographic Updates, Get the Molina PB via EmailApril

Provider Bulletin: Fax Submission File Size, ABN Guidance, Molina Guided Care Rebranding, EOP and 835 Enhancements, Prepayment Coding Validation, New Century Health Fax Number, A&G Mailing Address Update, Filing Expedited UM Requests, Revenue Code 0120 Update, Payer ID Reminder, Medicaid Enrollment Requirements, Did You Know: Molina Help Finder, BH QMHS Billing Modifier, Women, Infants, and Children (WIC), Molina of Ohio Check Runs, Q1 Provider Newsletter, Medicaid Renewals, Partnership Avalon Healthcare, Molina Legacy Portal Sunsetting, ORP Providers NPI, It Matters to Molina Corner, Provider Training Sessions, Changes to PA Code List, Website Roundup, BH Codes: H2020, H0038, H0048, Demographic Info: Fax Number, Availity: Overpayments Process, 2023 HEDIS Data Collection, Care Coordination Portal, Medicare PA Guide and PA Forms, New Century/ProgenyHealth, Changes to Provider ManualApril

Provider Quality Bulletin: Child Dental and Well-Care Visits, Adult Access to Preventive Health Services, Mid-Ohio Farmacy Program, Medicaid Renewal Information, PRAF vs. ROP, Follow-up After Hospitalization for Mental Illness HEDIS Measurement InformationMarch

Provider Bulletin - Special Edition: Cultural CompetencyMarch

Provider Bulletin: Next Gen Medicaid Program, Important Information Regarding the Resumption of Medicaid Renewals, Ordering, Referring, and Prescribing Providers NPI, Changes to PA Requirements, Provider Demographic Information: Fax Number for Dispute Resolution, Availity: Overpayments Process, 2023 HEDIS Data Collection, Molina Quality Living Program Awardees, Behavioral Health Codes: H2020, H0038, and H0048, Molina Legacy Provider Portal Sunsetting, Partnership with Avalon for Laboratory Benefit Management, It Matters to Molina Corner, You Matter to Molina: Video Series for Members, Provider Training Sessions, Weight Watchers, UPDL 30 Day Change Notice, Emailing PHI Securely, Americans with Disabilities Act, Care Coordination Portal, Molina of Ohio Clinical Policies, Medicare PA Guide and PA Forms, Authorization Appeal New Century Health or ProgenyHealth, PASRR Process for Nursing Facilities, Changes to the Provider ManualMarch

Provider Bulletin - Special Edition: Next Generation Medicaid Program 2/1 Go Live, Medicaid Paper Claims, Provider Access to the Molina Care Coordination Portal through Availity Essentials Portal, New Provider Claim Disputes Process, Provider Network Management Module and MITS Maintenance DowntimeFebruary

Provider Bulletin: Changes to Provider Manuals, Molina of Ohio Clinical Policies, Marketplace Hospice Claims, Care Coordination Portal, PASRR Process for Nursing Facilities, Reminder: Rendering Provider on Professional Claims Submissions, Partnership with Avalon for Laboratory Benefit Management, Claims Hold on Prospective Payment System, Auth Reconsiderations New Centure Health or ProgenyHealth, Next Gen Medicaid Dec 1 Launch Delay, Molina Legacy Provider Portal SunSetting, "It Matters to Molina" Corner, You Matter to Molina: Online Resources, Next Gen Ohio Medicaid Feb 1 Launch Resources, Fighting Fraud, Waste and Abuse, Provider Training Sessions, Website Roundup, Medicare PA Guide and PA Forms, ProviderNet SunSetting, Columbus Measles Outbreak, PsychHub Information, Drugs Carved Out: Fee-for-service, Explanation of Payment Refund Reporting, Provider Contract for Next Gen Medicaid, Notice of Changes to PA RequirementsFebruary

Provider Bulletin: New Claim Disputes Process, Dec 1 Deadline for Annual MOC Training, Rendering Provider Claim Submissions, Partnership with Avalon Healthcare for Laboratory Benefit Management, Claims Hold on Prospective Payment system, Authorization Reconsiderations New Century Health or ProgenyHealth, Drugs Carved Out: Fee-for-Service, Columbus Measles Outbreak, BH: Other Licensed Professionals, Next Gen Medicaid December 1 Launch Delay, ProviderNet Sunsetting, Molina Legacy Provider Portal Sunsetting, Claim Submission: Electronic and Paper, It Matters to Molina Corner, You Matter to Molina: Provider Contracting Team, Next Gen Program Feb 1 Launch Resources, 2022-2023 Open Enrollment, Provider Training Sessions, MCG Auto-Authorization, Behavioral Health Provider Manual, Oxygen Rental Only Codes, Q4 Provider Newsletter, PsychHub Information on Provider Website, COVID-19 (Coronavirus) Codes, Molina Help Finder, Explanation of Payment Refund Reporting, Provider Contract for Next Gen, Tips for Preparing Patients for Telehealth Visits, Changes to PA Requirements, Changes to the Provider Manual, Next Gen Medicaid: PNM, SPBM, and OH|IDJanuary

Provider Bulletin - Special Edition: Q1 2023 PA Code List UpdateDecember

Provider Bulletin: Next Gen Medicaid December 1 Launch Delay, Updated: Changes to PA Requirements, Updated: Changes to the Combined Provider Manual, Molina Legacy Provider Portal Sunsetting, ProviderNet Sunsetting, Explanation of Payment Refunding Reporting, Healthmap Solutions, Molina Help Finder, Reminder: Claim Submission: Electronic and Paper, It Matters to Molina Corner, Reminder: Next Gen Medicaid: PNM, SPBM, and OH|ID, Unified Preferred Drug List: 30-Day Change Notice, Provider Payment and Bank Information, Annual Mandatory Model of Care Training, Updated: 2022-2023 Open Enrollment, Provider Training Sessions, Updated: COVID-19 Codes, PNM Requirement for EVV System, EVV Training, Claim Reconsideration Status Now Live on the Availity Portal, Provider Contract for Next Gen Medicaid, Tips for Preparing Patients for Telehealth Visits, PsychHub Information on Provider WebsiteDecember

Provider Quality Bulletin: Mid-Ohio Farmacy Program, Annual Dental and Well-Care Visits, Important Facts about the Prenatal Risk Assessment Form (PRAF), Improved Access to Mental Health Care Through OhioRISE, Pre-paid DSME Slots, Community-Based Organization (CBO) CollaborationDecember

Provider Bulletin: Next Generation Medicaid: PNM, SPBM, and OH|ID, 2022/2023 Flu Season Recommendations, Tips for Preparing Patients for Telehealth Visits, Claim Submission: Electronic and Paper, EVV Training, EVV Visit Updates, Evaluation and Management Services Billed with Rev. Code 0761, Shortened Benefit Year: Next Gen Medicaid Program, BH Provider Manual, PsychHub Information on Provider Website, ODM BH Limits, Audits, and Edits, Psychological and Neuropsych Testing PA Code List, BH Code Edit Requirements, Updated: COVID-19 Codes, Updated: Claims Processing Update: Modifiers, It Matters to Molina Corner, You Matter to Molina: Get to Know Your Provider Representatives, 2022-2023 Open Enrollment, Provider Training Sessions, Changes to PA Requirements, Changes to the Provider Manual, How to Compress Files, Access Standards, Corrected Claims Process, Claim Reconsideration Process, Updated: OhioRISE Information, Claim Reconsideration Status Now Live on the Availity Portal, Reminder: Sterilization, Hysterectomy, and Abortion Consent Forms, Reminder: Maternal and Infant Support Program (MISP), SUD Residential Treatment Notification of Admission Form, Provider Contract for Next Gen Medicaid, Annual Mandatory Model of Care Training, Health Care Education: Outcomes for People with DisabilitiesNovember

Provider Bulletin: Changes to the Provider Manual, Do You Have Your OH ID, PNM and OH ID Top 5 Things You Need to Know, Next Gen Medicaid Program Updates and Trainings, Maternal and Infant Support Program (MISP), Claims Processing Update: Modifiers, Paper Claim Submission, Sterilization, Hysterectomy, and Abortion Consent Forms, It Matters to Molina Corner, You Matter to Molina: Get to Know Your Provider Representatives, Molina Quality Living Program Awardees, Updated Monkeypox Vaccine Codes, Screening Mammography Update, Change Healthcare Settlement Advocate Migration with ECHO Health Inc., Provider Training Sessions, Changes to PA Requirements, Respiratory Syncytial Virus Season, Claim Reconsideration Status Live on Availity Portal, Chiropractic Services Benefit Year, MCG Auto-Authorization, Annual Mandatory Cultural Competency Training, Americans with Disabilities Act, Q3 Provider Newsletter, American Academy of Pediatrics Foundation Luncheon, OhioRISE Information, SUD Residential Treatment Notification of Admission Form, LTSS Respite Services for Children, Provider Contract for Next Gen Medicaid, Annual Mandatory Model of Care Training, Health Care Education: Improved Outcomes for People with DisabilitiesOctober

Provider Quality Bulletin: Completed PRAF is a Win-Win for the Provider and Member, Annual Dental and Well-Care Visits for School-Age Children Initiative, All-MCP Improvement Initiative: DSME and CGM Intervention TestingSeptember

Provider Bulletin – Special Edition: Change Healthcare and ECHO Health updateSeptember

Provider Bulletin: PNM and OH|ID: Top 5 Things, Next Gen Updates and Training, Monkeypox Vaccine Codes, Value Code 80, 81, and 74, Screening Mammography Update, Molina Clinical Policies, UPDL: 30-Day Change Notice, Molina Prepayment Claim Reviews, Update: Change Healthcare, SUD Residential Treatment Form, Changes to PA Code List, OhioRISE Information, Updated: COVID-19 Codes, It Matters to Molina Corner, You Matter to Molina: PS Reps, Provider Training Sessions, Website Roundup, MCG Auto-Authorization, Changes to Provider Manual, LTSS Respite Services for Children, Provider Contract Next Generation, External Wheelchair Assessment, Genetic Testing Update, Readmission Payment Policies, Institution for Mental Disease Stays, Annual Model of Care, Medicare PA Guide and Form, Health Care Education, Clinical Services – Adv. Imaging, DSME for MedicaidSeptember

Provider Bulletin – Special Edition: OhioRISE ImplementationAugust

Provider Bulletin – Special Edition: Change Healthcare and ECHO HealthAugust

Provider Bulletin – Special Edition: Update: Change Healthcare OutageAugust

Provider Bulletin: OhioRISE Information, Upcoming MITS Freeze, Molina Provider Bulletin Update, Requirements for Type of Bills, Provider Hours Requirement, External Wheelchair Assessment, Sandata EVV Member Validation, LTSS Respite Services for Children, Quality Living Program Awardees, Marketplace Notice of Reg. Updates, Website Roundup, Genetic Testing Update, Updated: COVID-19 Codes, It Matters to Molina Corner, You Matter to Molina: PS Reps, Provider Training Sessions, Changes to Provider Manual, Clinical Services – Adv. Imaging, Changes to PA Code List, Provider Contract Next Generation, Readmission Payment Policies, Institution for Mental Disease Stays, Roster: Affiliations with Practitioners, MCG Auto-Authorization, Annual Model of Care, Home Health Prior Authorization, Medicare PA Guide and Form, Health Care Education, DSME for MedicaidAugust

Provider Bulletin – Special Edition: Change Healthcare ProviderNetJuly

Provider Bulletin: It Matters to Molina Corner, Update Affiliations with Practitioners, Clinical Services – Adv. Imaging, Medicare PA Guide and Form, Readmission Payment Policies, Institution for Mental Disease Stays, Balance Billing, Itemized Statement Requirements, COVID-19 New Code, Updated: MCG Auto-Authorization, DSME for Medicaid, Partial Hospital & SUD Update, Home Health Prior Authorization, Expansion of Telehealth Services, You Matter to Molina: PS Reps, Immunizations Temporary Policy, Provider Training Sessions, Changes to Provider Manual, Changes to PA Code List, Next Generation Medicaid Update, UPDL: 30-Day Change Notice, Provider Contract Next Generation, Annual Model of Care, Q2 Provider Newsletter, Remind Patients about Healthchek, Psychological/Neuropsych Testing, PsychHub Information, Chiropractic Services Expansion, Member Contact Information, Health Care Education, Sequestration ReductionJuly

Provider Bulletin – Special Edition Behavioral Health: Ohio CANS Information Technology System, Update on Coordination of Benefits, Reminder for BH Billing Agencies to Update Affiliations with their Practioners, Notice of Changes to Prior Authorization Requirements, Prolonged Service Codes: 99354 and 99355, Ordering, Referring, and Prescribing Providers NPI, BH Centralized Fax Numbers, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, PsychHub on the Molina Provider Website, BH Provider Manual, Provider Enrollment in MITS, Changing a Remittance Address, Changing a Service Location Address, Non-Contracted BH Providers, Update to Definitive UDS Counts, BH Cash Advance Repayments, BH Limits, Audits, and EditsJune

Provider Quality Bulletin: Diabetes Quality Improvement Collaborative Projects CGM and DSME, Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Initiative, COVID-19 VaccinationsJune

Provider Bulletin – Special Edition: Model of Care TrainingJune

Provider Bulletin – Special Edition: FQHC & RHC Coverage, Q3 PA Code List Update, Provider Training OpportunitiesJune

Provider Bulletin: It Matters to Molina Corner, Changes to PA Code List, Psychological/Neuropsych Testing, UPDL: 30-Day Change Notice, OhioRISE Fundamentals Webinar, Next Generation Medicaid Update, Coverage Changes FQHC & RHC, Partial Hospital & SUD Update, Home Health Prior Authorization, HCIC Notice of Program End Date, Counseling Codes 99401 & 99402, Reminder: BH Code Edits, PsychHub Information, Chiropractic Services Expansion, Expansion of Telehealth Services, You Matter to Molina: PS Reps, Provider Training Sessions, Changes to Provider Manual, Website Roundup, Provider Contract Next Generation, Member Contact Information, New Century Health, Updated: MCG Auto-Authorization, Availity Info on Provider Website, Maternal and Infant Support, Health Care Education, Sequestration ReductionJune

Provider Bulletin: It Matters to Molina Corner, Next Generation Medicaid Update, Maternal and Infant Support, COVID-19 Vaccine Counseling, COVID-19 Vaccination Booster, Consent Form Requirements, Coverage of Apo-Varenicline, New Century Health, ODM Training Opportunities, You Matter to Molina: PS Reps, Updated: MCG Auto-Authorization, Medicaid ID for EVV, Provider Training Sessions, Changes to Provider Manual, Changes to PA Code List, Website Roundup, Provider Contract Next Generation, Availity Info on Provider Website, Medicare Home Health PA Fax, Health Care Education, Sequestration Reduction, COVID-19 Test KitsMay

Provider Bulletin – Special Edition: ARPA COVID-19 Provider Relief FundsApril

Provider Bulletin – Special Edition: Post-Acute Authorization Requirements UpdateApril

Provider Bulletin – Special Edition: Home Health PA Fax Number and EVV April WebinarApril

Provider Bulletin: It Matters to Molina Corner, Changes to the Provider Manual, Unified Preferred Drug List 30 Day Change Notice, Coverage of Apo-Varenicline, New Century Health, Clinical Policy Website, OhioRISE Training Opportunities, You Matter to Molina: Get to Know Your Provider Representatives, Revenue Codes Billing Update, Availity Information on Provider Website, Medicaid ID Number for EVV, SMC Update for Sandata EVV, Updated: MCG Auto-Authorization, Molina Quality Living Program Awardees, 2022 HEDIS Data Collection, Provider Training Sessions, Changes to PA Requirements, Did You Know: Pacify, Updated PA Guide, Provider Contract for Next Generation Medicaid, Ownership and Control Disclosure Form Requirements, American Academy of Pediatrics Spring Education Meeting, Molina of Ohio Check Runs, Improved Outcomes for People with Disabilities, Updated Sequestration Suspension and Reduction, Outpatient Therapy Services Reminder, COVID-19 Home and Point-of-Care TestingApril

Provider Bulletin – Special Edition: Cultural CompetencyMarch

Provider Bulletin – Special Edition: New Century Health, PA Code ListMarch

Provider Bulletin: It Matters to Molina Corner, MCG Auto-Authorization, UPDL: 30-Day Change Notice, Next Generation Medicaid, Outpatient Therapy Service, DSME Education for Medicaid, You Matter to Molina: PS Reps, MolinaCares Accord Webinar, 2022 HEDIS® Data Collection, MyChoice Debit Cards, COVID-19 Pfizer Codes, COVID-19 Test Kits, Provider Training Sessions, Changes to Provider Manual, Did You Know: Text4baby, Website Roundup, Q1 Provider Newsletter, Emailing PHI Securely, AAP Spring Education Meeting, Health Care Education, Sequestration Reduction, Implicit Bias & Maternal Health, Americans with Disabilities ActMarch

Provider Bulletin – Special Edition Behavioral Health: Notice of Changes to Prior Authorization Requirements, Prolonged Service Codes: 99354 and 99355, Ordering, Referring, and Prescribing Providers NPI, Behavioral Health Centralized Fax Numbers, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, PsychHub on the Molina Provider Website, Behavioral Health Provider Manual, Provider Enrollment in MITS, Non-Contracted BH Providers. Update to Definitive UDS Counts, Changing a Remittance Address, Changing a Service Location Address, BH Cash Advance Repayments, BH Limits, Audits and EditsFebruary

Provider Bulletin – Special Edition: Post-Acute Authorization RequirementsFebruary

Provider Bulletin: It Matters to Molina Corner, Prior Authorization Changes, 2022 HEDIS Data Collection, COVID-19 Home and Point-of-Care Testing, Health Care Education: Improved Outcomes for People with Disabilities, You Matter to Molina: Get to Know Your Provider Representatives, Updated: Claims Hold on Prospective Payment System, Molina Quality Living Program Awardees, 2021: A Year in Review, Provider Training Sessions, Provider Manual Changes, Legacy Provider Portal, Ordering, Referring, and Prescribing Providers NPI, Updated Sequestration Suspension and Reduction, Managing Implicit Bias and Maternal Health TrainingFebruary

Provider Bulletin - Special Edition: ProgenyHealth Partnership for NICU UM and CM, Updated: Post-Acute Authorization Requirements, COVID-19: Vaccination Program for 2022January

Provider Bulletin – Special Edition: Check Printing ErrorJanuary

Provider Bulletin: It Matters to Molina Corner, Claims Hold on Prospective Payment System, Updated Sequestration Suspension and Reduction, COVID-19 Vaccine Updates, Legacy Provider Portal, 2022 Provider Manuals, ProgenyHealth Partnership for NICU UM and CM, Modifier Requirements for HCPCS H0020, Behavioral Health Provider Manual, Post-Acute Authorization Requirements, Updated: Ordering, Referring, and Prescribing Providers NPI, Managing Implicit Bias and Maternal Health Training, Provider Training Sessions, Changes to PA Requirements, Update to Definitive UDS Counts, Hospice Claims Value Codes, Evaluation and Management Services Billed with Rev. Code 0761, Availity Provider Secure Messaging, Reminder: EVV ProvidersJanuary

Provider Bulletin – Special Edition: Potential Delay in Member ID Card DistributionDecember

Provider Quality Bulletin: Chronic Conditions, Molina My Health Program, Behavioral Health, Member’s Obstetric and Gynecological HealthDecember

Provider Bulletin: It Matters to Molina Corner, Secure Messaging in Availity, Changes to Provider Manual, Changes to PA Code List, Payment for PAs and APNs, Post-Acute Authorization Requirements, Advance Directives, E&M Services with Code 0761, Hospice Claims Value Codes, Update to Definitive UDS Count, Home Health PDGM FAQ, Updated ORP Provider NPI, Model of Care Training, Cultural Competency Training, Update COVID-19: Vaccine Administration Rate for Additional Dose, Provider Training Sessions, Website Roundup, Corrected claims Process, Claim Reconsideration Process, Access Standards, Q4 Provider Newsletter, Reminder: EVV Providers, Americans with Disabilities Act, Ownership and Control Form, Implicit Bias & Maternal Health, 2021 Open EnrollmentDecember

Provider Bulletin: It Matters to Molina Corner, COVID-19: Vaccine Administration Rate for Additional Dose, Changes to the Provider Manual, 2021 Open Enrollment, Reminder: Medicaid Enrollment Requirements, Electronic PRAF Modifier Update, Updated: Ordering, Referring and Prescribing Providers NPI, Molina Quality Living Program Awardees, Molina Clinical Practice and Preventive Health Guidelines, Annual Mandatory Medicare Model of Care Training, Provider Training Sessions, Website Roundup, Changes to PA Requirements, Disabling Electronic Visit Verification (EVV) Exception, Data Accuracy for Electronic Visit Verification (EVV) Providers, Managing Implicit Bias and Maternal Health Training, Value Code 80 & 81: Missing/ Invalid Covered Days, Submitting Professional Claims When the Billed Amount Exceeds $99,999.99, Managed Care Plan Consolidated Resources, Diabetes Self-Management Education for MedicaidNovember

Provider Bulletin - Special Edition: Inpatient Claims HoldOctober

Provider Bulletin: It Matters to Molina Corner, Reminder: Medicaid Enrollment Requirements, Updated: Ordering, Referring and Prescribing Providers NPI, Changes to the Provider Manual, New Provider Online Directory, Managing Implicit Bias and Maternal Health Training, 2021/2022 Flu Season Recommendations, MCP Consolidated Resources, Data Accuracy for EVV Providers, LTSS Bi-Annual Audit, Medicare Model of Care Training, Diabetes Self-Management Education for Medicaid, Provider Training Sessions, Changes to PA Requirements, Updated: SUD PA Request Form, Q3 Provider Newsletter, Nursing Facility Request Form Instructions, Nursing Facility Ventilator Rates, COVID-19 Vaccine Billing Guide, Value Code 80 & 81: Missing/Invalid Covered Days, BH Centralized Fax Number, Claims Exceeding $99,999.99, Drug Waste Codes Billed with Modifier JW, EVV UpdatesOctober

Provider Quality Bulletin: Chronic Conditions: Diabetes Management, Wellness: COVID-19 Vaccinations and Childhood Immunizations, Women's Health: Effective Cancer Prevention Messaging During the PandemicSeptember

Provider Bulletin - Special Edition: COVID-19 (Coronavirus) Prior Authorization UpdateSeptember

Provider Bulletin: It Matters to Molina Corner, Updated: Medicaid Enrollment Requirements Provider Bulletin, Notice of Changes to Prior Authorization (PA) Requirements, Prior Authorization Request Form Updated, Respiratory Syncytial Virus Season, Nursing Facility Ventilator Rates, Change in Process for Alternative EVV Certification, Molina Transitioning Away from eviCore, Annual Mandatory Medicare Model of Care Training, Submitting Professional Claims When the Billed Amount Exceeds $99,999.99, MCG Health: Cite for Care Guideline Transparency, Diabetes Self-Management Education for Medicaid, Diagnosis Related Group (DRG) Validation, Provider Training Sessions, Notice of Changes to the Provider Manual, Website Roundup, Managed Care Nursing Facility Request Form Instructions, COVID-19 Vaccine Billing Guidelines, Drug Waste Codes Billed with Modifier JW, Balance Billing, Remind Patients about Healthchek, Value Code 80 & 81: Missing/Invalid Covered Days, Behavioral Health Centralized Fax Number, SUD Services PA Request Form, Ordering, Referring and Prescribing Providers NPI, EVV UpdatesSeptember

Provider Bulletin - Special Edition Behavioral Health: Electronic Visit Verification Training OpportunitiesAugust

Provider Bulletin - Special Edition Behavioral Health: Behavioral Health Centralized Fax Number, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, Prolonged Service Codes: 99354 and 99355, Prolonged Services Codes: 99417 and G2212, PsychHub on the Molina Provider Website, Reminder: Behavioral Health Limits, Audits and Edits, Top Denials, Behavioral Health Provider Manual, Non-Contracted Behavioral Health Providers, Provider Enrollment in MITS, Changing a Remittance Address, Changing a Service Location Address, Urine Drug Screening, BH Cash Advance RepaymentsAugust

Provider Bulletin: It Matters to Molina Corner, Medicaid Enrollment Requirements Provider Bulletin, Drug Waste Codes Billed with Modifier JW, MCG Health: Cite for Care Guideline Transparency, Speech Generating Device Requests, Diabetes Self-Management Education for Medicaid, DMEPOS Changes, Notice of Changes to Prior Authorization (PA) Requirements, Molina Transitioning away from eviCore, You Matter to Molina: Reference Guide for Supporting Documentation for Claims, Molina Quality Living Program Awardees, Diagnosis Related Group (DRG) Validation, Provider Training Sessions, Notice of Changes to the Provider Manual, Website Roundup, Sandata Mobile App Update, Behavioral Health Centralized Fax Number, SUD Services PA Request Form, Ohio Department of Medicaid Website Update, Molina Provider Portal Moving to Availity, Molina Peer-to-Peer on Interactive Voice Response, Ordering, Referring and Prescribing Providers NPI, EVV Updates and TrainingAugust

Provider Bulletin - Special Edition: COVID-19: FQHC, QFPP and RHC Vaccine Administration Fee IncreaseJuly

Provider Bulletin: It Matters to Molina Corner, Transitioning Away from eviCore, Molina Provider Online Directory, Peer-to-Peer IVR, Provider Portal Moving to Availity, Prepayment Claim Reviews, ORP Provider NPI, You Matter to Molina, Provider Training Sessions, Changes to PA Code List, Changes to Provider Manual, Provider Newsletter, Itemized Statement Requirements, Molina of Ohio Check Runs, EVV New Ticketing PortalJuly

Provider Bulletin - Special Edition: Provider Portal Moving to Availity, Molina Provider BulletinJune

Provider Quality Bulletin: Behavioral Health: May is Mental Health Awareness Month, Wellness: 30-Day Readmission Policy Update Reminder & Focus, Women's Health: Report of Pregnancy Form, COVID-19 VaccinationsJune

Provider Bulletin: It Matters to Molina Corner, Prepayment Claim Reviews, Changes to PA Code List, Changes to Provider Manual, ORP Provider NPI, Transitioning Away from eviCore, Marketplace Fax Number Update, Medicare Fax Number Update, Provider Training, EVV New Ticketing Portal, Website Roundup, Did You Know, Provider Network Module Portal, Prescriptions for Insect Repellent, CAHPS Provider Tip Sheet, Provider Termination Requirement, Diabetes and Hypertension Care, COVID-19 UpdatesJune

Provider Bulletin – Special Edition: Online Resources, Training and Guidance, The Provider Portal, The Provider Website, Turnaround Times for Claims and Member Appeals, The Provider Online Directory, Provider Training Opportunities, How to Join WebEx, Marketplace Authorization Fax Number Updates, Medicare Authorization Fax Number UpdateMay

Provider Bulletin – Special Edition: Annual Mandatory D-SNP Medicare Model of Care TrainingMay

Provider Bulletin: It Matters to Molina Corner, Attention: Behavioral Health Providers PsychHub on the Molina Provider Website, Attention: Ohio Comprehensive Primary Care (CPC) Providers, Provider Termination Prior Notice Requirements, CAHPS Provider Tip Sheet, Provider Network Module (PNM) Portal, Billing Information for Non-Dental Eligible Providers, Availity Portal Training, Ownership and Control Disclosure Form Requirements, COVID-19 (Coronavirus) Updates, Provider Training Sessions, Website Roundup, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Marketplace Authorization Fax Number Updates, Medicare Authorization Fax Number Update, Centralized Credentialing, Americans with Disabilities Act, Quick Reference Guide: Diabetes and Hypertension CareMay

Provider Bulletin – Special Edition: LTSS Authorization Process Update, ODM COVID-19 (Coronavirus) Billing Guidelines, Overpayment and Incorrect Payments Refund Requests, Electronic Visit Verification: New Zendesk Ticketing Portal, Electronic Visit Verification: Training Opportunities, Billing Hospice Services on a CMS 1500 Form, Update: Molina Hospice HCIC and Vent/Vent Weaning Billing Guidelines, Marketplace Authorization Fax Number UpdatesApril

Provider Bulletin – Special Edition: Update to the CMS Announcement: Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction SuspensionApril

Provider Bulletin – Special Edition: CMS Webinar Announcement: Information, Data and Tools to Support COVID-19 Vaccine Acceptance in Underserved CommunitiesApril

Provider Bulletin – Special Edition: CMS Announcement: Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction SuspensionApril

Provider Bulletin: It Matters to Molina Corner, Provider Network Module (PNM) Portal, Centralized Credentialing, Molina Quality Living Awardees, Itemized Statement Requirements, Behavioral Health (BH) Treatment Insights and Provider Support, Quick Reference Guide: Diabetes and Hypertension Care, Marketplace Authorization Fax Number Updates, 2021 HEDIS Data Collection, Availity Portal Training, Website Roundup, Provider Training Sessions, Notice of Changes to PA Requirements, Notice of Changes to the Provider Manual, Did You Know?, Provider Newsletter, Access Your Molina Member Roster, Payment for Vaccines Furnished by FQHC or RHC, LabCorp COVID-19 Testing, COVID-19 (Coronavirus) UpdatesApril

Provider Bulletin – Special Edition: Cultural Competency, Cultural Competency Training Confirmation 2021March

Provider Bulletin – Special Edition: Prior Authorization Update, Molina Hospice Health Care Isolation Center (HCIC) and Vent/Vent Weaning Billing Guidelines, COVID-19 Vaccine Updates, Behavioral Health Coding UpdateMarch

Provider Quality Bulletin: Women's Health, Behavioral Health, Behavioral Health Treatment Insights and Provider Support (BH-TIPS), Healthy Children, Chronic ConditionsMarch

Provider Bulletin: It Matters to Molina Corner, Overpayment and Incorrect Payments Refund Requests, Availity Portal Training, Payment for Vaccines Furnished by FQHC or RHC, Emailing PHI Securely, Provider Services Contact Page on Provider Website, 2021 HEDIS Data Collection, How to Access Your Molina Member Roster, Sign Up to Receive the Provider Bulletin via Email, Routine Hospice Reimbursement Methodology Update, Update: Molina Partnering with MCG Health, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did You Know?, Pharmacists as Providers, LabCorp COVID-19 Testing, COVID-19 (Coronavirus) Updates, PsychHub on Provider WebsiteMarch

Provider Bulletin – Special Edition: Prior Authorization (PA) Code List Update, You Matter to Molina February

Provider Bulletin – Special Edition: Electronic Visit Verification Training OpportunitiesFebruary

Provider Bulletin – Special Edition: COVID-19 (Coronavirus) Vaccine February

Provider Bulletin – Special Edition Behavioral Health: Prolonged Services Codes, Urine Drug Screening, Changing a Remittance Address, Changing a Service Location Address, Reminder: Behavioral Health Limits, Audits and Edits, Top Denials, Claim Reconsideration, Non-Contracted Behavioral Health Providers, Provider Enrollment in MITS, BH Cash Advance RepaymentsFebruary

Provider Bulletin: It Matters to Molina Corner, Routine Hospice Reimbursement Methodology Update, Pharmacists as Providers, Notice of Changes to Prior Authorization (PA) Requirements, You Matter to Molina, March Vision Update, Updated: Value Code 80 & 81: Missing/Invalid Covered Days, Molina Partnering with MCG Health, PsychHub on the Molina Provider Website, Website Roundup, Provider Training Sessions, Notice of Changes to the Provider Manual, Did You Know?, Readmission Policy Update, Hospice Services to Require PA, Changes to Drug Test Codes, 2021 Updates to Patient Driven Grouping Model (PDGM), LabCorp COVID-19 Testing, COVID-19 (Coronavirus) Updates, Active Medicaid ID Number and National Provider Identifier (NPI)February

Provider Bulletin – Special Edition: Year in ReviewJanuary

Provider Bulletin – Special Edition: Notice of Changes to February 1, 2021 Prior Authorization (PA) RequirementsJanuary

Provider Bulletin: It Matters to Molina Corner, Molina Partnering with MCG Health, 2021 Updates to Patient Driven Grouping Model (PDGM), State Reimbursement for HVAC Upgrades, PsychHub on the Molina Provider Website, Post-Acute Prior Authorization Update, Transportation Needs: Groceries, Active Medicaid ID Number and National Provider Identification (NPI), Medicare Part B - J Code Prior Authorizations, You Matter to Molina!, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, 30-Day Readmission Policy Update, Hospice Services to Require PA, Changes to Drug Test Codes, LabCorp COVID-19 Testing, Electronic Visit Verification (EVV), COVID-19 (Coronavirus) UpdatesJanuary

Provider Bulletin – Special Edition: Notice of Changes to February 1, 2021 Prior Authorization (PA) Requirements December

Provider Bulletin – Special Edition: PsychHub on the Molina Provider Website, Introduction to PsychHub December

Provider Bulletin – Special Edition: CMS Guidance for the COVID-19 Vaccine December

Provider Bulletin – Special Edition: Telehealth Place of Service (POS) 02 and GT Modifier, 2021 Provider Manual Annual Update: Significant Updates by Section/ChapterDecember

Provider Bulletin: Telehealth Place of Service (POS) 02, Post-Acute Prior Authorization Update, 30-Day Readmission Policy Update, Notice of Changes to Prior Authorization (PA) Requirements, Updated Medicaid Drug Formulary, Medicare Part B - J Code Prior Authorizations, Changes to Drug Test Codes, Hospice Services to Require PA, Reminder: eviCore PA Requests and Process, Transportation Needs: Groceries, It Matters to Molina Corner, You Matter to Molina!, Value Code 80 & 81: Missing/Invalid Covered Days, Cost Coverage Rate Increase for Hospitals, How to Join WebEx, Website Roundup, Provider Training Sessions, Notice of Changes to the Provider Manual, Did You Know?, Dialysis Treatment Update, Required Annual Trainings, LabCorp COVID-19 Testing, Active Medicaid ID Number and National Provider Identifier (NPI), Provider Portal Moving to Availity, Electronic Visit Verification (EVV), COVID-19 (Coronavirus) Updates, Pain ManagementDecember

Provider Bulletin – Special Edition: Medicaid and MMP Medicaid PA Code List Updates for H0012, H2012 and H2020November

Provider Bulletin – Special Edition: Prenatal Risk Assessment Form (PRAF)November

Provider Bulletin – Special Edition: Availity Training SessionsNovember

Provider Bulletin: It Matters to Molina Corner, 2020/2021 Flu Season Recommendations, Provider Satisfaction Survey, Annual Mandatory Medicare Model of Care Training, Update: Prior Authorization Lookup Tool, Update: LabCorp COVID-19, Electronic Visit Verification Remittance N363, VaxCare Solutions Now in Network, Active Medicaid ID Number and National Provider Identifier (NPI), Annual Mandatory Cultural Competency Training, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Provider Portal Moving to Availity, Changes for Non-Contracted Behavioral Health Providers, EVV Phase 3, COVID-19 (Coronavirus) Updates, Use of ASAM Criteria for SUD Treatment in Hospitals, Obstetrics (OB) UpdateNovember

Provider Quality Bulletin: Childhood Immunizations, Influenza (Flu), Behavioral Health, A Word From the Institute for Healthcare Improvement (IHI), Women's HealthOctober

Provider Bulletin – Special Edition: Tips for Submitting Pain Management Injection RequestsOctober

Provider Bulletin – Special Edition: Cares Act – Coronavirus Relief Fund Provider Relief PaymentsOctober

Provider Bulletin – Special Edition Behavioral Health: Reminder: Behavioral Health Limits, Audits and Edits, Non-Contracted Behavioral Health Providers, Top Denials, Provider Training Sessions, Changing a Service Location Address, Changing a Remittance Address, COVID-19 Updates, How to Join WebEx, Behavioral Health Provider Manual, Claim Reconsideration, Provider Enrollment in MITS, BH Cash Advance RepaymentsOctober

Provider Bulletin – Special Edition: State of Emergency Provider Guide Statement on TelehealthOctober

Provider Bulletin: It Matters to Molina Corner, Provider Satisfaction Survey, LabCorp COVID-19 Updates, Provider Portal Moving to Availity, VaxCare Solutions Now in Network, Active Medicaid ID Number and National Provider Identifier (NPI), Remind Patients about Healthchek, Obstetrics (OB) Update, Molina Quality Living Program Awardees, Use of ASAM Criteria® for SUD Treatment in Hospitals, Annual Mandatory Cultural Competency Training, Annual Mandatory Medicare Model of Care Training, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did you know?, Update: Cologuard™ Coverage, Changes for Non-Contracted Behavioral Health Providers, Electronic Visit Verification, COVID-19 (Coronavirus) Updates, Ownership and Control Disclosure Form RequirementsOctober

Provider Bulletin – Special Edition: Hospice Services in a Nursing FacilitySeptember

Provider Bulletin – Special Edition: Prior Authorization Lookup Tool on the Provider WebsiteSeptember

Provider Bulletin – Special Edition Behavioral Health: Changes for Non-Contracted Behavioral Health Providers, Top Denials, Provider Training Sessions, Changing a Service Location Address, Changing a Remittance Address, How to Join WebEx, Behavioral Health Provider Manual, Claim Reconsideration, COVID-19 Updates, Provider Enrollment in MITS, BH Cash Advance RepaymentsSeptember

Provider Bulletin – Special Edition: Cultural Competency, Cultural Competency Training Confirmation 2020September

Provider Bulletin – Special Edition: Use of ASAM Criteria® for SUD Treatment in HospitalsSeptember

Provider Quality Bulletin: HEDIS® 2021 Measure Changes, Behavioral Health, Women's HealthSeptember

Provider Bulletin: It Matters to Molina Corner, Electronic Visit Verification, COVID-19 (Coronavirus) Updates, Active Medicaid ID Number, Annual Mandatory Medicare Model of Care Training, Americans with Disabilities Act, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did You Know?September

Provider Bulletin – Special Edition: Free ECHO BH Sessions for Pediatric ProvidersAugust

Provider Bulletin – Special Edition Behavioral Health: Training on Behavioral Health ServicesAugust

Provider Bulletin – Special Edition Behavioral Health: Top Denials, Provider Training Sessions, Claim Reconsideration, Diagnosis Codes for CMHC Services, Changing a Service Location Address, Changing a Remittance Address, How to Join WebEx, Behavioral Health Provider Manual, Reminder: Claim Processing Requirements, COVID-19 Updates, CPSEs on the Provider Website, Provider Enrollment in MITS, Behavioral Health Cash Advance RepaymentsAugust

Provider Bulletin: It Matters to Molina Corner, COVID-19 (Coronavirus) Updates, Molina Quality Living Program Awardees, Did You Know?, Cologuard Coverage, Home Health Updates, Annual Mandatory Medicare Model of Care Training, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Balance Billing, 30-Day Readmissions Policy Update, Ohio’s “Hard Stop” Labor Induction Rule, Notice of Medicare Non-Coverage (NOMNC) Reminder, Fighting Fraud, Waste & AbuseAugust

Provider Bulletin – Special Edition: COVID-19: State of Emergency Updates: Essential Providers, Prior Authorizations Extension – Existing, Prior Authorizations – New Requests, Update for Inpatient/Outpatient Authorization Process Medicaid and MyCare Ohio Medicaid, Enhanced Ambulatory Patient Grouping (EAPG) Claims Processing Delay, Long-Term Services and Supports (LTSS) Toolkit, Timely Filing of Claims, Telehealth, COVID-19 Testing and Treatment, COVID-19 Laboratory Specimen Collection, Sequestration, Hospital 20% Add-on Payment, Notifying Providers of COVID-19 Positive Patients, New Free Offering for Pediatric Providers on BH Telehealth Start-up, Pharmaceuticals and Coverage, COVID-19 Resources, Molina Member COVID-19 Resources, Telehealth Code List by Line of BusinessJuly

Provider Bulletin – Special Edition Behavioral Health: Diagnosis Codes for CMHC Services, Changing a Service Location Address, Claim Reconsideration, Behavioral Health Cash Advance Repayments, Changing a Remittance Address, Provider Enrollment in MITS, COVID-19 Updates, Molina CPSEs on the Provider Website, How to Join WebEx, Behavioral Health Provider Manual, Provider Training Sessions, Reminder: Claim Processing RequirementsJuly

Provider Bulletin – Special Edition: Women’s Health: Prenatal ServicesJuly

Provider Bulletin – Special Edition: Provider Relief Fund: Medicaid and CHIP Provider DistributionJuly

Provider Bulletin – Special Edition: Electronic Visit Verification (EVV)July

Provider Bulletin: It Matters to Molina Corner, Notice of Changes to Prior Authorization (PA) Requirements, Updated State Fiscal Year-End Provider Payments, 30-Day Readmissions Policy Update, Home Health Updates, Evaluation and Management (E/M) Update, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, COVID-19 (Coronavirus) Updates, Prior Authorization Buy and Bill Updates, Annual Mandatory Medicare Model of Training, Fighting Fraud, Waste & Abuse, How to Join WebEx, Provider Training Sessions, Notice of Changes to the Provider Manual, Provider Newsletter, Ohio’s Hard Stop Labor Induction Rule, Notice of Medicare Non-Coverage (NOMNC) Reminder, Molina Prepayment Claim Reviews, Electronic PA Requests for PharmacyJuly

Provider Bulletin – Special Edition: Updated Notification: Ownership and Control Disclosure Form RequirementJune

Provider Quality Bulletin: Behavioral Health: COVID-19 (Coronavirus) Information, Wellness Matters, Improving Your Quality Rates for Prenatal Care: Timeliness of Prenatal Care, Retinal Scanning Camera for Diabetic Eye Exams, Diabetes and COVID-19 (Coronavirus)June

Provider Bulletin – Special Edition Behavioral Health: Behavioral Health Cash Advance Repayments, Changing a Remittance or Service Location Address, Changing a Service Location Address, Update: Provider Enrollment in MITS, COVID-19 Updates, Annual Mandatory Medicare Model of Care Training, Molina CPSEs on the Provider Website, How to Join WebEx, Behavioral Health Provider Manual, Provider Training Sessions, Reminder: Claim Processing RequirementsJune

Provider Bulletin – Special Edition: Ownership and Control Disclosure Form RequirementJune

Provider Bulletin: It Matters to Molina Corner, COVID-19 Updates, Annual Mandatory Medicare Model of Care Training, Molina Prepayment Claim Reviews, Electronic PA Requests for Pharmacy, EVV Ticketing System, MAT Videos on Website, How to Join WebEx, Provider Training Sessions, Changes to PA Requirements, Changes to the Provider Manual, Did You Know?, Molina CPSEs on Website, PA FormJune

Provider Bulletin – Special Edition: Free ECHO BH Sessions for Pediatric ProvidersMay

Provider Bulletin – Special Edition: Model of CareMay

Provider Bulletin – Special Edition: COVID-19: State of Emergency Updates: Essential Providers, PA Extension, PA New Requests, Inpatient Authorization Process, EAPG Claims Processing Delay, LTSS Toolkit, Timely Filing of Claims, Telehealth, COVID-19 Testing and Treatment, COVID-19 Laboratory Specimen Collection, Sequestration, Hospital 20% Add-On Payment, Notifying Providers of COVID-19 Positive Patients, Free Offering for Pediatric Providers on BH Telehealth, Pharmaceuticals and Coverage, COVID-19 Resources, Molina Member COVID-19 Resources, Telehealth Code ListMay

Provider Bulletin – Special Edition Behavioral Health: BH Cash Advance Repayments, Provider Enrollment in MITS, COVID-19 Updates, Claim Processing Requirements, MAT Videos on Provider Website, Provider Trainings, CVS Delivery Services and Refills, BH Timely Claim SubmissionMay

Provider Bulletin – Special Edition: CARES Act Banking Information Update RequestMay

Provider Bulletin: It Matters to Molina Corner, COVID-19 Updates, Prior Authorization Form, EVV Ticketing System, Medication Reconciliation, PA Requirements: eviCore, CAHPS Survey, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, CPSEs on the Provider Website, CVS Delivery Service and Refills, Molina Nurse Advice LineMay

Provider Bulletin – Special Edition: COVID-19: State of EmergencyApril

Provider Bulletin – Special Edition Behavioral Health: Testing for Provider Master File, Coronavirus: PA Extensions, Telehealth, MAT Videos on Molina Website, BH Cash Advance, Active Medicaid ID Number, BH Timely Claim Submission, Behavioral Health FAQ, BH Provider Manual Updates, Provider Trainings, CVS Delivery Services and Refills, CPSEs on the Provider Website, BH Recoupment Process, Billable Service CodesApril

Provider Bulletin: It Matters to Molina Corner, Coronavirus: PA Extensions, Telehealth, EVV Ticketing System, EVV Training Opportunities, Medication Reconciliation, MAT Videos on Molina Website, Quality Living Program Awardees, PA Requirements: eviCore, CAHPS® Survey, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, CPSEs on the Provider Website, CVS Delivery Service and Refills, Access Standards, Molina of Ohio Check Run, Cultural Competency Videos, 2020 HEDIS® Data Collection, Case Review via Livanta, Molina Nurse Advice LineApril

Provider Bulletin – Special Edition: Coronavirus: Provider Authorization Extension, CVS Delivery Service and Refills, Molina Nurse Advice LineMarch

Provider Bulletin – Special Edition: Coronavirus UpdateMarch

Provider Bulletin – Special Edition: Coronavirus and InfluenzaMarch

Provider Quality Bulletin: Well Visits, CPTII Codes for HbA1c Results, Medication Reconciliation, Quality Behavioral Health: ECHO Project, Mammogram ScreeningsMarch

Provider Bulletin – Special Edition Behavioral Health: BH Cash AdvanceMarch

Provider Bulletin – Special Edition Behavioral Health: Testing for Provider Master File, Active Medicaid ID Number, DATA 2000 Waiver Training, Opioid Treatment Programs, Billable Service Codes, BH Timely Claim Submission, Behavioral Health FAQ, BH Provider Manual Updates, Provider Trainings, BH Recoupment ProcessMarch

Provider Bulletin: It Matters to Molina Corner, Coronavirus Information, EVV Training Opportunity, PA Requirements: eviCore, CAHPS® Survey, Case Review via Livanta, 2020 HEDIS® Data Collection, Cultural & Linguistic Competency, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Americans with Disabilities Act, DATA 2000 Waiver Trainings, Reconsideration RequirementsMarch

Provider Bulletin: It Matters to Molina Corner, DATA 2000 Waiver Trainings, 2020 HEDIS® Data Collection, Quality Living Awardees, CAR T-Cell Therapy, Unified Preferred Drug List, New PA Requirements: eviCore, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, EAPG Claim Holds, PPS Claim Hold, Reconsideration RequirementsFebruary

Provider Bulletin - Special Edition: eviCore Phone Number UpdateJanuary

Provider Bulletin: It Matters to Molina Corner, Required Annual Trainings, EAPG Claim Holds, PPS Claim Hold, Hospital Rate Updates, CAR T-Cell Therapy, Marketplace Name Updates, Unified Preferred Drug List, New PA Requirements: eviCore, Updated Prior Authorization Form, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, NOMNC Reminder, Reconsideration RequirementsJanuary

Provider Bulletin - Special Edition Behavioral Health: Testing for Provider Master File, BH Recoupment Process, BH Timely Claim Submission, Billing in the Provider Portal, Provider Trainings, BH Provider Manual Updates, Active Medicaid ID Number, Billing Service Codes, Behavioral Health FAQJanuary

Provider Bulletin – Special Edition: Patient Driven Grouping Model (PDGM), Home Health Billing and Payment for Molina Marketplace MembersDecember

Provider Bulletin – Special Edition: HolidayDecember

Provider Bulletin – Special Edition Behavioral Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, Cultural Competency Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Provider Trainings, BH Provider Manual Updates, Active Medicaid ID Number, Billable Service Codes, Behavioral Health FAQ December

Provider Bulletin: It Matters to Molina Corner, Unified Preferred Drug List, New Member Cards for 2020, Ownership and Control Form, Notice of NOMNC, eviCore PA Requirements, Cultural Competency Training, Model of Care Training, PA Requirements for UDS, Home Health Prior Authorizations, Provider Training, BH Claim Reconsideration Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Reconsideration RequirementsDecember

Provider Bulletin - Special Edition: eviCoreNovember

Provider Bulletin – Special Edition Behavioral Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, Cultural Competency Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Rendering Providers, Provider Portal Training, BH Provider Manual Updates, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQNovember

Provider Bulletin – Special Edition: Unified Preferred Drug ListNovember

Provider Bulletin – Special Edition: Medicare TherapyNovember

Provider Bulletin: It Matters to Molina Corner, Provider Training, Billing MMP for Cost-Sharing, Healthchek Reminder, Cultural Competency Training, Model of Care Training, PA Requirements for UDS, BH Claim Reconsideration Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Medicare Inpatient Rate Updates, Anesthesia Services Modifiers, Reconsideration RequirementsNovember

Provider Bulletin – Special Edition: Nursing Facility Rates UpdateOctober

Provider Bulletin – Special Edition: Cultural CompetencyOctober

Provider Bulletin - Special Edition Behavior Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Rendering Providers, Provider Portal Training, BH Provider Manual Updates, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQ October

Provider Bulletin – Special Edition: Medicare & New PA Code ListOctober

Provider Bulletin: It Matters to Molina Corner, Medicare Inpatient Rate Updates, Contact Provider Services, Anesthesia Services Modifiers, Quality Living Awardees, PA Requirements for UDS, Model of Care Training, Americans with Disabilities Act, Provider Satisfaction Survey, Reconsideration Requirements, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know?October

Provider Bulletin – Special Edition: Smoking Cessation and Lead InitiativesSeptember

Provider Bulletin – Special Edition Behavioral Health: Model of Care Training, PA Requirements for UDS, BH Provider Manual Updates, BH Timely Claim Submission, Advances Recoupment Process, BH Contingency Funds, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, Rendering Providers, BH Q&A Session, Provider Portal Training, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQSeptember

Provider Bulletin – Special Edition: eviCore UpdateSeptember

Provider Bulletin: It Matters to Molina Corner, Model of Care Training, Sepsis Payment Policy Update, Provider Satisfaction Survey, BH Provider Manual Updates, Reconsideration Requirements, Corrected Claims for Primary EOB, Medication-Assisted Treatment, Electronic Visit Verification, Update: Drug Rebate Agreement, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know?, DUR ProgramSeptember

Provider Bulletin – Special Edition: Patient Driven Payment ModelAugust

Provider Bulletin – Special Edition: Outpatient Hospital Behavioral HealthAugust

Provider Bulletin – Special Edition: Pregnancy Risk Assessment FormAugust

Provider Bulletin – Special Edition: Nursing FacilityAugust

Provider Bulletin – Special Edition: Model of CareAugust

Provider Bulletin – Special Edition: eviCoreAugust

Provider Bulletin: It Matters to Molina Corner, Provider Satisfaction Survey, Balance Billing, Reconsideration Requirements, Provider Newsletter, Corrected Claims for Primary EOB, Medication-Assisted Treatment, Electronic Visit Verification, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know?, DUR Program, Update: Drug Rebate AgreementAugust

Provider Bulletin – Special Edition: EVVJuly

Provider Bulletin – Special Edition: Authorization ReconsiderationJuly

Provider Bulletin – Special Edition Behavioral Health: BH Timely Claim Submission, BH Contingency Funds, BH Provider Manual Updates, BH Q&A Session, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQJuly

Provider Bulletin: It Matters to Molina Corner, DUR Program, CRRF Requirements, Paper Claims CRRF, Member Match Requirements, Updated Drug Formulary, Update: Drug Rebate Agreement, Quality of Living Awardees, Molina Provider Portal, Electronic Visit Verification, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Medication-Assisted Treatment, Corrected Claims for Primary EOB, Hepatitis A Vaccine, CAQH Provider DemographicJuly

Quality Provider Bulletin: Cervical Cancer Screenings, Submit BMI Assessments with ICD-10 Codes, Molina Team Graduates from IHI Course, Coding Tips for Pregnancy Related Services, Safety Guidelines from Ohio Minds MatterJune

Provider Bulletin – Special Edition: Hospice Room and BoardJune

Provider Bulletin – Special Edition Behavioral Health: BH Contingency Funds, BH Provider Manual Updates, BH Q&A Session, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQJune

Provider Bulletin: Hepatitis A Vaccine, Electronic Visit Verification, Alzheimer’s Association Training, Reconsideration Form, CAQH Provider Demographic, Multiple Procedure Payment Reduction on Advance Imaging, All-Cause Readmissions, Provider Training, BH Q&A Sessions, BH Correct Claims Training, Changes to PA Code List, Notice for IMDs, Hospital Based Clinic VisitJune

Provider Bulletin – Special Edition Behavioral Health: BH Provider Manual Updates, BH Q&A Session, Corrected Claims Training, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Top Denials with Remit Codes, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQMay

Provider Bulletin:CAQH Provider Demographic, Reconsideration Form Requirements, Multiple Procedure Payment Reduction on Advance Imaging, Electronic Visit Verification, Alzheimer’s Association Training, All-Cause Readmissions, Hospital Based Clinic Visit, Provider Training, Changes to PA Code List, 2019 HEDIS® Data Collection, Notice for IMDsMay

Provider Bulletin – Special Edition: WaiverApril

Provider Bulletin – Special Edition: Hepatitis A VaccineApril

Provider Bulletin – Special Edition: EVVApril

Provider Bulletin – Special Edition: MATApril

Provider Bulletin – Special Edition Behavioral Health: Enrollment and Credentialing, Corrected Claims Training, Provider Portal Training, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Top Denials with Remit Codes, Opioid Education Resources, Psychological Testing Codes, PA for New Services, Provider Support, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Behavioral Health FAQ April

Provider Bulletin: All-Cause Readmissions, Notice for IMDs, 2019 HEDIS® Data Collection, Quality of Living Awareness, Hospital Based Clinical Visit, Authorization & Claim Reconsideration Process Update, Provider Demographic Updates, PA Requirements for Non-Par Providers, Provider Training, Did You Know, Changes to PA Code List, Access StandardsApril

Quality Provider Bulletin: Molina Reimburses PCP In-Office Retinal Screenings, In-Home Blood Pressure Program, PRAF 2.0 Electronic Submission, CAVS Member Incentive ProgramMarch

Provider Bulletin – Special Edition Behavioral Health: Provider Demographic Update, Narcan Nasal Administration, BH Redesign & Integration, Psychological Testing Codes, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Top Denials with Remit Codes, Active Medicaid ID Number, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQMarch

Provider Bulletin: 2019 HEDIS® Data Collection, Hospital Based Clinic Visit Facility Fees, MyCare Ohio Newborn Coverage, SACWIS Newborn Coverage, Authorization & Claim Reconsideration Process Update, Standard Authorization Form, Provider Demographic Updates, PA Requirements for Non-Par Providers, NDC Billing Guidelines, Changes to PA Code List, Provider Training, Americans with Disabilities Act, Cultural & Linguistic Competency, New File Size for SubmissionsMarch

Provider Bulletin – Special Edition: WaiverFebruary

Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQFebruary

Provider Bulletin: Molina Holding Claims, LARC Payment, ASD Code Updates, New File Size for Submissions, Medicaid ID, NDC Billing Guidelines, Holding Claims, Did You Know, Changes to PA Code List, Provider TrainingFebruary

Provider Bulletin – Special Edition: Sepsis and Septic Shock Payment PolicyJanuary

Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQJanuary

Provider Bulletin: Medicaid Unified PDL, New File Size for Submissions, PA – Urgent vs. Non-Urgent, NF Ventilator Program Update, Medicaid ID, NDC Billing Guidelines, ODM BH Redesign, Did You Know, Changes to PA Code List, Provider Training, Holding ClaimsJanuary

Provider Bulletin – Special Edition: Waiver Signature RequirementsDecember

Provider Bulletin – Special Edition: HolidayDecember

Provider Bulletin – Special Edition: Authorization & ReconsiderationDecember

Provider Bulletin – Special Edition Behavioral Health: Active Medicaid ID Number, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQDecember

Provider Bulletin: Medicaid ID, Preferred Drug List, Waiver Signature Requirement, Holding Claims, 2018 Open Enrollment, Medicare Reimbursement, Home Health Fax Numbers, NDC Billing Guidelines, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Molina Partners with Cavs, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy CapsDecember

Provider Bulletin – Special Edition: COAAANovember

Provider Bulletin – Special Edition: COAAA Follow UpNovember

Quality Provider Bulletin: CPT II Codes for Blood Pressure Results, November is National Diabetes Awareness Month, Prenatal Risk Assessment Form, Well Child Visits, Molina Partners with Cleveland Cavaliers on New Member Incentive ProgramNovember

Provider Bulletin – Special Edition: Unified PDLNovember

Provider Bulletin – Special Edition: Public CommentNovember

Provider Bulletin – Special Edition Behavioral Health: BH Provider Form, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQNovember

Provider Bulletin: 2018 Open Enrollment, Medicare Reimbursement – SNF, Home Health Fax Numbers, Transportation Billing, NDC Billing Guidelines, Third Party Biller Functionality, 2018/2019 Flu Season, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy CapsNovember

Provider Bulletin – Special Edition Behavioral Health: Claims Payment Systematic Error, BH Provider Form, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Enrollment Update, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, FFS Prior Authorizations, PA for New Services, Behavioral Health FAQOctober

Provider Bulletin – Special Edition: Cultural CompetencyOctober

Provider Bulletin: Updated PIF Form, Post-Acute Provider Intake Form, Healthchek Reminder, Tobacco Cessation, Care Coordination Visit Guide, Molina and Cavs Partnership, Rendering Provider NPI, BH Carve-In for PCP Providers, ODM BH Redesign, Sterilization, Hysterectomy and Abortion, Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Updated In-Office Lab Testing, Corrected Claims, Outpatient Therapy CapsOctober

Quality Provider Bulletin: In-Home Blood Pressure Program, Total Diabetes Care Program, Behavioral Health Redesign, Tips on Improving the Use of Multiple Concurrent Antipsychotics, Coding Tips for Pregnancy Related Services, ICD-10-CM Diagnosis Coding, HEDIS Tips Booklet Minor Misprint, Wellness Measure TipsSeptember

Provider Bulletin – Special Edition: OBGYNSeptember

Provider Bulletin – Special Edition Behavioral Health: Corrected claims, Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New Services Behavioral Health – Frequently Asked QuestionsSeptember

Provider Bulletin: Updated Drug Formulary, Molina Announces Partnership with Cleveland Cavaliers, Medical Foods, Americans with Disabilities Act, Cultural Competency, Updated In-Office Laboratory Testing List, Sterilization, Hysterectomy and Abortion Consent Forms, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In for Primary Care Providers, ODM Behavioral Health (BH) Redesign, Notice of Changes to Prior Authorization (PA) Requirements, Outpatient EAPG Services, Corrected Claims, Provider Training Sessions, Outpatient Therapy Caps, Fighting Fraud, Waste & AbuseSeptember

Provider Bulletin – Special Edition Behavioral Health: Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Behavioral Health – Frequently Asked Questions, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New ServicesAugust

Provider Bulletin – Special Edition: EVVAugust

Provider Bulletin: Licensed Practical Nurses (LPN) Renewal 2018, Complex Claim Review Process, Model of Care Training, Sterilization, Hysterectomy and Abortion Consent Forms, Molina Healthcare Quality Living Program Awardees, Inpatient Admission and Review, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In Information for Primary Care Providers, Behavioral Health Member Eligibility Assistance, ODM Behavioral Health (BH) Redesign, Did You Know?, Notice of Changes to Prior Authorization (PA) Requirements, Top Claim Denials, Outpatient EAPG Services, Provider Newsletter, Updated – Corrected Claims, Updated In-Office Laboratory Testing List, Provider Training Sessions, Non-Par Laboratory Testing PA, Outpatient Therapy Caps, Fighting Fraud, Waste & AbuseAugust

Provider Bulletin – Special Edition Behavioral Health: Active FFS Prior Authorizations, Upcoming Behavioral Health Sessions, Upcoming Face to Face Orientations, Behavioral Health Carve-In Information for All Providers, Rendering Provider NPI, Service Codes Billable to Medicare and Third Party Liability, Member Eligibility, ERA and EFT for Providers, Common Billing Errors that Cause Claims to Deny, Behavioral Health Redesign Claims Testing, Active Medicaid ID Number, Provider Support Available, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Behavioral Health – Frequently Asked Questions, Rendering Providers in Provider Portal, BH Rendering Testing Guidance, New Opioid Education Resources, Requesting Prior Authorization for New Services, Claims Features TrainingJuly

Provider Bulletin - Special Edition: Model of CareJuly

Provider Bulletin - New Nursing Facility Guide, Active Medicaid ID Number, BH Carve in for PCPs, Rendering Provider NPI, BH Independence - OH Training, BH Springdale - OH Training, ODM BH Redesign, BH Member Eligibility Assistance, Medicaid Redetermination, Changes to PA Code List, Corrected Claims, In-Office Laboratory Test List, Provider Training, Non-Par Laboratory Testing PA, DME Q&A Session, Outpatient Therapy CapsJuly

Provider Bulletin – Special Edition: New Nursing Facility GuideJune

Provider Bulletin – Special Edition Behavioral Health: Molina BH WebEx Training, Independence Ohio Training, Identifying a Molina Member, Behavioral Health FAQ, Rendering Providers, BH Claims Testing, Common Billing Errors, Provider Support, Enrollment Update, BH Testing Guidance, Opioid Education Resources, PA for New Services, Claims Features TrainingJune

Quality Provider Bulletin: Pregnancy Rewards Changes, Changes to Passport to Perks Incentive Program, Proper Blood Pressure Readings, HbA1c In-Office Testing, 7-Day Follow Up After Hospitalization for Mental Illness (FUH) MeasureJune

Provider Bulletin: Nursing Facility Room & Board, In-Office Laboratory Test List, Medicaid Redetermination, New NPI Requirements, Medicaid Check Runs, Outpatient Therapy Caps, Enrollment Application, Corrected Claims, ODM BH Redesign, FQHC Transportation, Provider Training, DME Q&A Sessions, Online Claim Reconsiderations, NDC Billing Guidelines, Non-Par Laboratory Testing PAJune

Provider Bulletin – Special Edition: FQHC Transportation ReimbursementMay

Provider Bulletin – Special Edition: Behavioral Health RedesignMay

Provider Bulletin: Outpatient Therapy Caps, DME Q&A Sessions, Enrollment Application, Pregnancy Rewards, Provider Satisfaction Survey, Corrected Claims, ODM BH Redesign, Change to PA Code List, Provider Training, Cures Act MAT Training, Online Claim Reconsiderations, NDC Billing Guidelines, Physician Laboratory Tests, Non-Par Laboratory Testing PAMay

Provider Bulletin – Special Edition: Medicaid Restricted Coverage PeriodsApril

Provider Bulletin – Special Edition: Behavioral Health RedesignApril

Provider Bulletin: Provider Satisfaction Survey, Quality Living Program Awardees, Concurrent & Post Payment Denials, Corrected Claims, 2018 HEDIS® Data Collection, Cures Act MAT Training, Provider Training, ODM BH Redesign, Partners in Care, Americans with Disabilities Act, Physician Laboratory Tests, Non-Par Laboratory Testing PA, Online Claim Reconsideration, NDC Billing GuidelinesApril

Provider Bulletin – Special Edition: Waiver ServicesMarch

Provider Bulletin – Special Edition: Behavioral Health Redesign March

Provider Bulletin: Corrected Claims, Provider Training, Physician Laboratory Tests, 2018 HEDIS® Data Collection, Cures Act MAT Training, ODM BH Redesign, Facility Claims, Cultural Competency, Access Standards, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim ReconsiderationMarch

Quality Provider Bulletin: Provider Incentive for Prenatal Care, Postpartum Care Coding Tips, Retinopathy Screenings, BH Redesign, Antipsychotics in Children and AdolescentsFebruary

Provider Bulletin – Special Edition: Behavioral Health RedesignFebruary

Provider Bulletin: 2018 HEDIS® Data Collection, Cures Act MAT Training, BMI Reporting, Postpartum Care Coding Tips, ODM BH Redesign, Physician Laboratory Tests, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim ReconsiderationFebruary

Provider Bulletin – Special Edition: Behavioral Health RedesignJanuary

Provider Bulletin: Laboratory Testing, Non-Par Laboratory Testing, ODM Behavioral Health, National Drug Code, Updated PA Code List, Online Claim ReconsiderationJanuary

Holiday Provider Bulletin: Happy Holidays from Molina!December

Provider Bulletin – Special Edition: Behavioral Health RedesignDecember

Provider Bulletin: Corrected Claims, ODM Behavioral Health, NDC Billing Guides, New Transportation Vendor, Office Laboratory Tests, New PA Code List, Mailing Information, Evaluation & Management, Fee-for-time Compensation, Online Claim ReconsiderationDecember

Quality Provider Bulletin: Timely Prenatal Care, National Diabetes Awareness Month, HEDIS® Measure Spotlight: Follow-Up After Hospitalization for Mental IllnessDecember

Provider Bulletin – Special Edition: Behavioral Health Redesign Claims TestingNovember

Provider Bulletin – Special Edition: Medicaid Enrollment ID RequirementsNovember

Provider Bulletin: Updating PIF Form, PA Code Addition Update, BH Redesign 501 Trainings, ODM BH Redesign, Claim Adjustment Reason Codes, Reconsideration Process, NDC Billing Guidelines, DME Modifiers, Prior Authorization Reminder, Partners in Care Newsletter, Americans with Disabilities Act, Online Claim ReconsiderationNovember

Provider Bulletin – Special Edition: Cultural CompetencyOctober

Provider Bulletin: 2017 Open Enrollment, Online Claim Reconsideration, Medicaid Renewal Deadline, Prescription Opioids, Milliman MCG Tool, ODM BH Redesign, New Hospice Rates, Healthchek Reminder, Nursing Facility Communications, New Provider Orientation, HNCC DissolvingOctober

Dental Bulletin – Special Edition: Link to Scion Provider Web Portal with Payer ID NumberSeptember

Dental Bulletin – Special Edition: Link to Scion Provider Web PortalSeptember

Provider Bulletin – Special Edition: Ownership and Control Disclosure Form RequirementSeptember

Provider Bulletin – Special Edition: Molina Healthcare EAPG UpdateSeptember

Provider Bulletin – Special Edition: Orthodontic Continuation of CareSeptember

Provider Bulletin – Special Edition: Grandfathered Medication ListSeptember

Provider Bulletin: Claim Reconsideration Requests, Cleveland Clinic, Waiver Authorizations, All- Cause Readmission, Transportation Claims, Encounter Requirements, Care Management Program, NDC Billing Guidelines, Compound Drugs, New Provider Orientation, New PA Code List, Observation Billing, Clear CoverageTM Update, NOC Billing Guidelines, HealthInHand App, Prior Authorization Form, ACR Guidelines AddedSeptember

Provider Bulletin – Special Edition: Learn new skills and earn CME creditAugust

Provider Bulletin – Special Edition: Mandatory Model of Care TrainingAugust

Provider Bulletin: Prior Authorization Form, NDC Billing Guidelines, ACR Guidelines Added, HNCC Dissolving Program, Claim Reconsideration Form, Behavioral Health Respite Care, EDI Companion Guides, Milliman’s MCG Tool, EAPG Payment Methodology, Transportation Claims, Accident Billing Claims, Clear Coverage Update, Interpreter Services, Pregnancy Check-Up, Evaluation and Management, Diabetes Provider Toolkit, Submitting EDI Claims, BH Redesign, Out Patient BH Redesign CodesAugust

Provider Bulletin: Dental Updates, Insect Repellent Prescriptions, Pregnancy Risk Assessment, BH Redesign, Submitting EDI Claims, Comprehensive Perinatal Care, Provider Manual Update, Hospital Rates Update, Care Plan Coordination, Uniform Authorization Form, EAPG Payment Methodology, Milliman’s MCG Tool, Co-Surgery ServicesJuly

Provider Bulletin – Special Edition: Portal System Back OnlineJune

Provider Bulletin: BH Redesign, Submitting EDI Claims, 30-Day Readmission, Partners in Care Newsletter, Opioid Drug Abuse, Comprehensive Perinatal Care, New PA Code List, Milliman MCG, EAPG Payment Methodology, Claim Adjudication and Payment, Refunds, Provider Appeals, LARC Device Reimbursements, ODA Shared Living, Children with AutismJune

Provider Bulletin – Special Edition: Portal System OutageMay

Quality Provider Bulletin: Healthy Members through HEDIS® and CAHPS®, Prenatal and Postpartum Care, How Well Doctors Communicate, Our Commitment to Support Quality Perinatal Care, Member Motivation - Pregnancy Rewards, Early Identification - PRAF Form, Postpartum Visit Notification, Changes to the Seven-day FUH - Follow Up After Hospitalization, Lab in an Envelope Home Screening Program, Passport to Perks, CAHPS® Survey AdministrationMay

Provider Bulletin: Submitting EDI Claims, Behavioral Health Redesign, Covered & Non-Covered Days, CAHPS® Survey, Encounter Requirements, Basic Billing Training, NOC Billing Requirements, Updated PA Request Form, POS Coding for Scion, Health Care Coding Tips, COB & TPL Billing Guidelines, EAPG Payment Methodology, Americans with Disabilities Act, Cultural & Linguistic Competency, Corrected Claims, No CRRFMay

Provider Bulletin – Special Edition: Place of Service (POS) Coding for ScionApril

Provider Bulletin: CAHPS® and HSAG Survey, CPC Program, Hospice Rates, Child Birth Codes, Behavioral Health Redesign, Submitting EDI Claims, Provider Satisfaction Matters, Newborn Claims Billing, Access Standards, Changing NPI in MITS, New Billing for Hospice & NFApril

Quality Provider Bulletin: CAHPS and HSAG Survey Administration, Rating of Personal Doctor, How Well Doctors Communicate, Getting Needed Care, Health Promotion and Education, Shared Decision MakingMarch

Provider Bulletin: Submitting EDI Claims, Encounter Requirements, Aide Nursing Rate Changes, Home Health CPT Code Retired, Ownership Disclosure, Long Term Support Services, NF Ventilator Program, New Prior Authorization (PA) ListMarch

Provider Bulletin: Update to Medicare PA Processing, Billing Guidelines for FQHCs, Complex Claim Review Process, Clear Coverage, NOC Billing Requirements, Behavioral Health Redesign, Claim Reconsideration UpdateFebruary

Provider Bulletin: New Populations Joining Molina, Transportation Changes, Pharmacy Benefit Changes, Dental Benefit Changes, Behavioral Health Redesign, Expedited Appeals, Eff. Feb 1, 2017 – New PA List, Earn $50 for Prenatal Care, Flu Season Tips, Clear CoverageDecember

Provider Bulletin – Special Edition: CPAP Therapy Changes for Durable Medical Equipment (DME) ProvidersDecember

Provider Bulletin – Special Edition: Happy Holidays from Molina, Pharmacy Benefit Changes, Prevention Claim Denial – EPSDT, Updating Your Provider Information, Claim Reconsideration Requests UpdateDecember

Provider Bulletin – Special Edition: Changes to the Dental Benefits are Coming Effective Jan. 1, 2017, Scion Dental Web Portal, Electronic Funds Transfer (EFT)November

Quality Provider Bulletin: Partners in Care Newsletter Online, Healthy Members through HEDIS®, Satisfied Members through CAHPS®November

Provider Bulletin: Inpatient Stays for Behavioral Health, MedXM Providing Health Assessments to Members, New Populations Joining Molina Healthcare, ODM Behavioral Health Redesign, Transportation Changes, Mandatory Cultural Competency TrainingNovember

Provider Bulletin: Claim Reconsideration Requests Update, Transplant and NICU Fax Number Changes, Home Health CPT Code Retired – G0154, Vaccines for Children Billing and Reimbursement Update, Remind Patients About Healthchek and Children in Custody, Adoption Joining Molina HealthcareOctober

Provider Bulletin – Special Edition: Pregnancy Rewards, Earn $50 for Timely Prenatal CareOctober

Provider Bulletin: Outpatient and Inpatient Payment, Pre-Release Pilot for Justice-Involved Members, Panel Limitations Reminder for Primary Care Providers, Earn $50 for Timely Prenatal Care, Prescriptions for Insect Repellent Now Covered, Corrected Claims Submission Tips, Provide Preventive Care During Other Types of CareSeptember

Quality Provider Bulletin: Important Note About Member ID Cards, Earn $50 for Timely Prenatal Care, Healthy Members through HEDIS, Satisfied Members through CAHPS, Access and Availability of CareAugust

Provider Bulletin: Episode-Based Payment Model Reports, Transportation Claim Modifiers, Home Health Claim Modifiers, Evaluation and Management Billing Guidelines, Claims Processing, Member Level of Care Changes, Access StandardsAugust

Provider Bulletin: PCP Assignment and Changes, Billing MMP Enrollees for Medicare Cost-Sharing Prohibited, Corrected Claims or EOBs from the Primary Insurance, ODM Behavioral Health Redesign , Annual Mandatory SNP Model of Care TrainingJuly

Provider Bulletin: Dual Coverage Dental Eligibility, Referring to Network Providers, Nursing Facility Transportation, Behavioral Health Redesign, NDC Requirement, Partners in Care Newsletter, Health Care Coding Tips, Provider Satisfaction SurveyJune

Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality ServicesMay

Provider Bulletin: Inpatient/Outpatient PA Requests, Encounter Requirements, Delivery Claims, Recipient of NCQA Award, Revalidation Requirement, Behavioral Health Redesign, Walk-in Retail Clinics, Health Care Coding Tips May

Provider Bulletin – Special Edition: Dental COCApril

Provider Bulletin: Inpatient Authorization Requests, Prior Authorization Update, Hospice Billing Information, Corrected Claims Requirements, Delivery Claims Update, Updating Provider Information, Faster Claim Reconsideration, SBIRT in Primary Care, New ODM Fee Schedule CodesApril

Provider Bulletin - Special Edition: Patient Liability Claims CorrectionMarch

Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality ServicesMarch

Provider Bulletin: Waiver Services Authorizations, Patient Liability Errors, POA Requirements, Federal Revalidation Requirement, Reminder About Diabetic Patients, Disability Discrimination Prohibited, Cultural & Linguistic Competency, Supporting CD4AP, Hospice Nursing Services Codes, Reaching a Care ManagerMarch

Provider Bulletin - Special Edition: OB/GYN Progesterone Therapy UpdateFebruary

Provider Bulletin - Special Edition: Skilled Nursing Facilities Submitting Service Dates for Room and BoardFebruary

Provider Bulletin: Billing Members Prohibited, Network Participation Status, Behavioral Health TOC, Independent Provider Overtime, Clear Coverage Training, Updating Provider Information, Changes for Delivery ClaimsFebruary

Provider Bulletin – Special Edition: Online Orientations for New Dental ProgramJanuary

Provider Bulletin: Medicare Part B Cost Sharing, MyCare Ohio Crossover Claims, Prevent Claim Rejection, Psychotropic Drugs for Children, Reaching a Care Manager, Make the Most of Flu Season, Pharmacy PDL Update, Clear Coverage Training, New ODM Sterilization FormJanuary

Provider Bulletin: New PA List and Form, Nurse & Aide Rate Changes, Home Health Codes for Medicare, Expanded NDC Requirements, Prevent Claim Denial – EPSDT, Prevent Claim RejectionDecember

Holiday Provider Bulletin: Happy Holidays from Molina, Prevent Claim Denial – EPSDT, Updating Provider Information, Clear Coverage Training December

Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality Services Fall

Provider Bulletin: Prevent Claim Denial – EPSDT, ICD-10 Claims Based on Date, Upcoming PA Code List Update, Fall Partners in Care Newsletter, NDC Requirements Expanding, Assigning Members a PCP, Revalidation Requirement, Clear Coverage Corner, Mandatory SNP Training November

Provider Bulletin – Special Edition: Transition to Secure Transportation October

Provider Bulletin: Prevent EPSDT Claim Denial, Claim Rejection: Spanned Dates, PA Reconsideration vs. Appeal, Progesterone Therapy Fax, Clear Coverage Corner, New Transportation Vendor, Patient Liability Reconciliation, Web Portal Support Desk, Updating Provider Information, Return of Overpayment Form, ICD-10 UpdateOctober

Provider Bulletin: Prevent EPSDT Claim Denial, Immunization Status, Home Health Billing Guidelines, PA Reconsideration vs. Appeal, Clear Coverage Corner, Corrected Claim Requirements, Healthchek, Refer to Participating Providers, Easier-to-Read EOPs, Web Portal Support Desk, Prospective Records Review, ICD-10 UpdateSeptember

Provider Bulletin – Special Edition: Preparing for ICD-10August

Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality ServicesSummer

Provider Bulletin: Prevent EPSDT Claim Rejection, Explanation of Payments Update, Leadership Staff Update, Immunization Status, Resources for Skilled Nursing Facilities, Clear Coverage Corner – Training, Reconsideration vs. Appeal, Provider Portal Support Desk, ICD-10 UpdateAugust

Provider Bulletin – Special Edition: EPSDT Billing GuidelinesJuly

Provider Bulletin: EPSDT Billing Guidelines, MinuteClinic Joins Provider Network, Clear Coverage Corner – Training, Immunization Status, Only Commendable Medicaid Health Plan in Ohio, Provider Satisfaction Matters, Provider Portal Support Service Desk, Primary Care Provider Payment, Important Notice to MyCare Ohio Providers, ICD-10 UpdateJuly

Provider Bulletin: Notice for Providers Serving MyCare Ohio Members, Patients’ Medicaid Renewal Deadline, Text4baby – Free Texts for Moms, Clear Coverage Corner – Enhancements, Patients to Receive Updated ID Cards, Molina Healthcare Achieves NCQA Commendable, Mandatory Waiver Provider Training, Correct Claims Submission, Pre-Authorization Denials, Care Management – How You Can Help, ICD-10 UpdateJune

Provider Bulletin – Special Edition: MyCare Ohio TransportationMay

Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality ServicesSpring

Provider Bulletin: Primary Care Rate Increase Payments, Notice for Providers Serving MyCare Ohio Members, Corrected Claims Submission, Introduction to Care Management, Updated Billing Guidelines Coming Soon, Patients’ Medicaid Renewal Deadline, Clear Coverage Corner – Training, Primary Insurance Information, Claim Reconsideration Requests, Hospice Room and Board Update, ICD-10 UpdateMay

Provider Bulletin: Patients’ Medicaid Renewal Deadline, Update to Corrected Claims Process, Clear Coverage – Training Sessions, Access Standards, ICD-10 Implementation Update, Claim Reconsideration Policy UpdateApril

Provider Bulletin: Patient’s Medicaid Renewal Deadline, Clear Coverage Corner – Automatic Approval, ICD-10 Implementation Update, Depression in Primary Care, Telemedicine, MyCare Ohio Web Portal UpdateMarch

Provider Bulletin: Clear Coverage Corner – Accessibility, Service Code Authorization Groups, Upcoming Provider Training Webinars, ICD-10 Implementation Update, Telemedicine, MyCare Ohio Passive Enrollment Split Billing, MyCare Ohio EFT for Waiver Providers, Molina MyCare Ohio Regional ForumsFebruary

Provider Bulletin: Preferred Drug List, Electronic Funds Transfers, Ohio Medicaid APR DRG Requirement, ICD-10 Implementation Update, 2015 MyCare Ohio Transportation, Provider Training WebinarsJanuary

Provider Bulletin: Amended PA Requirements, APR DRG Requirement, ICD-10 Implementation, Emdeon Processing, MyCare Ohio Passive Enrollment, NET Transportation, Partners in Care NewsletterDecember

Quality Provider Bulletin: Comprehensive Diabetes Care, Antidepressant Medication Management, Follow-up After Hospitalization For Mental Illness, Initiation/Engagement of Alcohol and Drug Dependence Treatment, Follow-up For Children Prescribed Attention Deficit Hyperactivity of Disorder (ADHD) Medication, Frequency of Ongoing Prenatal Care & Timeliness of Prenatal Care, Postpartum Care (PPC), Getting Care QuicklyFall

Provider Bulletin: Amended Par Requirements – Jan. 1, 2015, Pharmacy Facts, Provider Spotlight, Secure Messaging with Care ManagersNovember

Provider Bulletin: 2014 Prospective Medical Record Review & Retroactive Risk adjustment, Provider EMR Access, Fall Prevention, ICD-10 Implementation Update, Ebola Resources October

Provider Bulletin: All Patient Refined Diagnosis Groups, 2014 Prospective Medical Record Review & Retroactive Risk Adjustment, ICD-10 Implementation Update, Electronic Funds Transfer, Long-term Services and Supports (LTSS) Claims Submission Trainings, Upcoming MyCare Ohio Provider ForumsSeptember

Provider Bulletin: Emailing PHI Security, Delegation of Children With Special Health Care Needs (CSHCN), Prior Authorization, Provider Engagement Team Meetings, Corrected Claims SubmissionAugust

Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality ServicesSummer

Provider Bulletin: Pharmacy Facts, Healthchek, Navigating the Coordinating Services Program, Documenting BMI AssessmentsJuly

Provider Bulletin: Submitting Corrected Claims, Pharmacy Facts, Solvaldi, Provider Information Updates, Dual Options Behavioral Health Update, Partners in Care Provider Newsletter Posted on the Web, Provider Satisfaction Matters to MolinaJune

Provider Bulletin: Pharmacy Facts, PA No Longer Required for Mirena, Webex Online Trainings, Multiple Therapy Reduction, ICD-10 UpdateMay

Provider Bulletin - Special Edition: Molina Dual Options MyCare Ohio Provider OrientationApril

Provider Bulletin: Update to Pre-Service & Post-Service Claim Reconsideration Policy, Pharmacy Facts, Access Standards- Helping Members Set Reasonable Expectations, Public Website Home Page Improvements, What is MyCare Ohio, When Will MyCare Ohio Begin, How Will This Impact Your Patients, Website Roundup, April's Quality Check, Webex Online Trainings, Repeat & Reminders, Provider Spotlight, Fighting Fraud, Waste and Abuse, Molina Healthcare Contacts, April Community Outreach Events, Webex Online Trainings, Team Approach to Care Coordination, Combined Benefit Package, MyCare Ohio Quick LinksApril

Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality ServicesSpring

Provider Bulletin: MyCare Ohio Update, New HEDIS® Scorecard Web Portal Tool, Pharmacy Facts, CMS-1500 Claim Form, Healthy Members & Quality Services, What's New at Molina, Website Roundup, Outpatient PA RequestMarch

Provider Bulletin - Special Edition: Revised CMS 1500 claim form v02/12March

Provider Bulletin: Molina's Clear Coverage Offers Automatic Authorization and Real Time Responses, Amended Prior Authorization Requirements Effective Jan. 1, 2014, Phase-Out of High-Dose Prescription Acetaminophen Combination Products, 2014 HEDIS Data Collection, Provider Web Portal Updates, Respite Care Benefit, CMS Communication: ICD-10 Provider Survey, Members’ Satisfaction with Health Promotion and Education, Commitment to Healthy Members and Quality ServicesFebruary

Provider Bulletin: Molina Healthcare Provider Website Updates, Clear Coverage Monthly Online Training Sessions, Respite Care Benefit , Billing Requirements, Reimbursement, Delegation of Children with Special Health Care Needs, Vision Problems Can Cause Falls Among Older Ohioans, Commitment to Healthy Members and Quality Services, Members’ Satisfaction with Shared Decision MakingJanuary