aPlease familiarize yourself with the Preferred Drug List as you prescribe medications for Molina Healthcare beneficiaries. Thank you for your cooperation.Molina Healthcare Preferred Drug List (PDL)Pr...
For questions about any of the following areas, please select the appropriate link:Submitting Electronic: Claims, Referral Certification and Authorization1-866-409-2935Email Directly: EDI.Claims@Molin...
Does Molina offer Electronic Remittance Advice (ERA) and Electronic Funds Transfer (EFT)?
Yes. Molina Healthcare offers ERA/EFT through Change Healthcare, who has contracted with ECHO Health for thes...
HIPAA Standards for Electronic Healthcare TransactionsHIPAA required the Department of Health and Human Services (HHS) to adopt national standards for electronic healthcare transactions. All covered e...
Since HIPAA’s inception, Molina Healthcare has worked diligently and collaboratively with the broader healthcare community to achieve compliance with the federal HIPAA transactions requirements. Molin...
aMolina Healthcare’s HIPAA 5010 Readiness *Molina Healthcare is ready to test the 5010 versions of the HIPAA transactions with providers and other trading partners. We look forward to working collabo...
Access news and our Molina orientation training deck any time by visiting Resources & Communications. Please call Provider Services at (855) 322-4076 to schedule a one-on-one training for your organiz...
The Marketplace Prior Authorization Guide is a listing of codes that allows contracted providers to determine if a prior authorization is required for a health care service and the supporting document...
