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, assisting 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: http://www.molinahealthcare.com/providers/fl/medicaid/forms/Pages/fuf.aspx
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: AncillaryServices@Molinahealthcare.com
Fax documents can be sent to: (813) 675-9977
Mailed applications can be sent to:
Molina Healthcare of Florida
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.