For Molina Members About Molina
Type Size:

Welcome, Florida Healthcare Providers

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

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

If you have any questions, please call Provider Services at 855-322-4076.​

Credentialing Requirements for Therapists - Effective: 06/01/18

Effective June 1, 2018 all new and existing therapists will require submission of an individual application for credentialing. Rosters for therapists will no longer be accepted as a source document for loading purposes.

An individual application and current roster for all therapists affiliated to your group must be submitted. Please complete the individual application and blank roster form by April 30, 2018.

As new therapists are added to your group, you will need to submit the individual credentialing application. Additional individual credentialing applications can be found at:

Molina will continue to work with providers through the credentialing process and on-going monitoring to ensure thorough care for our members.

Please email the completed application to:

Fax documents can be sent to: (813) 675-9977

Mailed applications can be sent to:
Molina Healthcare of Florida
Ancillary Department
3450 Buschwood Park Drive, Suite 200
Tampa, FL 33618

For additional information, please contact Molina's Provider Services Department at (855) 322-4076

Referrals Requirements to In-Network Specialists - Effective: 02/01/18

Molina Healthcare of Florida, Inc. (“Molina”) PCPs serve an important role in supporting Molina members’ healthcare, including the coordination of specialty care when appropriate. Although Molina’s member handbooks for all lines of business require a PCP referral when accessing specialty care, Molina has only encouraged coordination between providers with no required supporting documents or forms. Effective February 1, 2018, Molina will begin requiring a paper referral form that should be made available to Molina members, and collected by the specialist office in advance of, or on the date of, the specialist visit.

This change will allow Molina and its network PCPs to promote primary care, and better coordinate specialty care at the right time and in the right setting. The referral requirement does not affect Molina’s Prior Authorization guidelines. Therefore, services that require prior authorization will continue to require clinical review and prior approval by Molina, and will not be reimbursed with a referral. Specialists should continue to submit requests for services that require prior authorization, and should not refer members to their PCP for authorization requests.

For more information click HERE.

Reminder: Molina is GOING GREEN as of July 1st and all claims need to be submitted through an EDI Clearinghouse or via Molina's Provider Portal. Please contact our Provider Services team if you have any questions.​​


Free Online CME Credits!!

Primary Care Providers - To Earn Extra CME Credits - Click Here


Important Reminder:

It is important to Molina Healthcare and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at: to validate your information and notify us if there are any updates.

Please notify Molina Healthcare at least 30 days in advance when you have any of the following:

  • • Change in office location,
       office hours, phone, fax, or email
  • • Addition or closure of office location
  • • ​Addition or termination of a
  • • Change in Tax ID and/or NPI
  • • Open or close your practice to new
       patients (PCPs only)

Check Member Eligibility & Benefits button Login or Register

Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.


LTSS Quick Reference Guide

Looking for information about requesting authorization or submitting a claim for Long-Term Services and Supports? Learn more.​

This link will take you away from the Medicare section of

This link will take you away from the Dual Options section of

You are about to leave the Molina Healthcare website.

This link will take you away from the Dual Options section of

This link will take you away from the Medicare section of

You are leaving the Molina Healthcare website. Are you sure?