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Sitecore Site Collection
Provider Bulletins
March 18, 2024   Optum-Change Healthcare outage Molina Healthcare, Inc. (Molina) is advising our providers of a critical outage of our third-party vendor, Optum-Change Healthcare (CHC), resulting in ...
/providers/wi/medicaid/comm/2024ProvBulletin318OptumChangeOutageUpdate.aspx
Sitecore Site Collection
Resources & Training
Availity Essentials Resources  Availity Core Features  Secure Messaging  Accessing Remittance Information  Enhanced Claim Reporting  Checking Member Redetermination Status  Managing Claims    Medicaid...
/providers/wi/medicaid/comm/training.aspx
Sitecore Site Collection
ERA/EFT
.pdf_list li { list-style: none; } .pdf_list li::before { content: ''; display: inline-block; height: 14px; width: 14px; background-size: 14px; background-imag...
/providers/ky/passportmedicare/claims/era-eft.aspx
Sitecore Site Collection
Submitting EDI Transactions
Types of EDI Transactions Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including: Claims Submission (83...
/providers/common/medicaid/ediera/edi/editrans.aspx
Sitecore Site Collection
Communications for Molina Providers
.pdf_list li{ list-style: none; } .pdf_list li::before{ content: ''; display: inline-block; height: 14px; width: 14px; background-size: 14px; background-image:...
/providers/va/medicaid/resources/communications.aspx
Sitecore Site Collection
Payment Integrity Policies
Doula Step-by-Step Process Summary of Doula Services Effective January 1, 2023, Molina Healthcare of California (MHC) provides doula services for prenatal, perinatal, and postpartum Medi-Cal members....
/providers/ca/medicaid/resource/Doula-Process.aspx
Sitecore Site Collection
Claims Submission
.pdf_list li{ list-style: none; } .pdf_list li::before{ content: ''; display: inline-block; height: 14px; width: 14px; background-size: 14px; background-image:...
/providers/va/medicaid/claims/submission.aspx
Sitecore Site Collection
Claims Submissions
.bullet_list li{ display: list-item; } Submitting Claims As a participating provider with Molina, you have established a contractual agreement to provide physical, beha...
/providers/nv/medicaid/claims/submission.aspx
Sitecore Site Collection
Electronic Data Interchange (EDI)
.bullet_list li{ display: list-item; } .pdf_list li::before{ content: ''; display: inline-block; height: 14px; width: 14px; background-size: 14px; background-i...
/providers/ma/swh/claims/edi.aspx
Sitecore Site Collection
Appeals and Grievances | Molina Healthcare
There are several ways members or their authorized representative (including a provider on behalf of a member) can file a grievance with Molina: By phone: (800) 424-5891 Monday - Friday 8 a.m. to 6 p...
/providers/az/medicaid/policies/appeals.aspx
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