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 1-855-322-4076.
New Vendor Update
Please be advised that effective July 1, 2019, Molina Healthcare of Florida is
starting a new partnership with Health Network One, Inc. (HN1)/American
Therapy Administrators of Florida (ATA-FL) and Coastal Care Services for all
lines of business.
For DME, Home Health and Home Infusion services, Molina Healthcare’s new
exclusive partner will be: Coastal Care Services.
- MMA, Marketplace, and Medicare:
- Coastal - All services under will require authorization and you will be required to follow Coastal’s Prior Authorization process.
- Long-Term Care/Comprehensive (MMA & LTC):
- Molina - You will continue to follow Molina’s Prior Authorization process.
For Free-Standing Therapy services (Physical, Occupational, and Speech), Molina
Healthcare’s new exclusive partner will be: Health Network One (HN1)/American
Therapy Administrators of Florida (ATA-FL).
*Please Note: This therapy transition is only delegated for therapies in Free-Standing facilities. Molina is still responsible for therapies in a hospital outpatient or inpatient setting.
- Coastal Care Services –
- Health Network One/American Therapy Administrators –
For more information on Molina Healthcare’s upcoming vendor transition, please
visit: www.molinahealthcare.com or you may also contact Molina’s Provider
Services Department at 1-855-322-4076 for any questions or concerns.
Thank you for your assistance and cooperation.
Effective April 1, 2019 Molina Healthcare will provide Non-Emergency Transportation through Access2Care Transportation to assist its Members with keeping, and traveling to medical appointments.
To make a reservation for a transportation service after 04/01/19, contact Access2Care’s reservation line for Molina Healthcare MMA/LTC Members at: (888) 298-4781.
If Member needs further assistance, they can also call (866) 472-4585 and a Member Services Representative will assist them with this request.
Molina Healthcare Upcoming Training Schedule
Come join us and learn more about Molina Healthcare!!!
|Friday, July 19
||Monday, July 22|
|Friday, July 26
||Wednesday, July 31 (Monthly Training)
|Friday, August 2
||Monday, August 5|
|Monday, August 12
||Friday, August 16|
|Monday, August 19
||Friday, August 23
|Monday, August 26 (Monthly Training)
||Friday, September 6|
|Monday, September 9
||Friday, September 13
|Monday, September 16
||Friday, September 20|
|Monday, September 23
||Friday, September 27|
|Monday, September 30 (Monthly Training)|
If you would like to attend any of these Trainings, please RSVP to MFLProviderServices@MolinaHealthCare.com and click on the date for log-in information.
Please check back for more Training Dates!!!
Providers should use QUEST DIAGNOSTICS, our preferred provider for laboratory services when referring members for lab services not covered in the office.
Claims for tests performed at non-par labs without prior authorization will be denied. Medically necessary laboratory services ordered by a PCP or other care provider performed at Quest typically DO NOT require prior authorization (except as noted on our prior authorization list.)
Molina allows only certain laboratory tests in the physician’s office. All other medically necessary laboratory testing must be directed to an in-network Laboratory such as Quest Diagnostics by the ordering physician (i.e.: specimens dropped in the Quest box for pick-up). For a list of approved in-office laboratory tests, including tests such as Rapid Strep, visit the “Forms” link above, and click on “In-Office Tests List”.
Claims for lab tests performed in the physician office, but NOT on Molina’s list of allowed in-office or otherwise authorized, may be denied payment.
For the latest list of patient services centers (draw sites), please reach out to Quest Diagnostics or view Molina’s Online Provider Directory.
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