For Molina Members About Molina
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Alert!

Members and providers impacted by Hurricane Dorian, please click here for more information
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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.

Authorization Requests:

  • 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.


Contact Information:

  • ​​Coastal Care Services –
    • Toll-Free: 1-855-481-0505 Web: www.ccsicare.com
    • Monday – Friday 8:30AM – 5:00PM

  • 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.

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TRANSPORTATION UPDATE

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!!! ​

ATTENTION PROVIDERS!!!

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.)

In-Office Labs
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.

Quest Diagnostics
866-MYQUEST (866-697-8378)
www.questdiagnostics.com

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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
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

Provider Services Portal

Check Member Eligibility & Benefits button

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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.

For more information on Electronic Visit Verification please 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.

Providers

Molina's MMA Physician Incentive Program

Click here
 
 
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Doctor

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: providersearch.molinahealthcare.com 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
       provider
  • • Change in Tax ID and/or NPI
  • • Open or close your practice to new
       patients (PCPs only)

LTSS Quick Reference Guide

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

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