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News and Updates

As a network provider, we are committed to communicating updates and information with you. Through Provider Memos and supplemental e-updates, we wi​ll share news with you about our health plan, new opp​ortunities to engage with us and policy updates.


To receive regular email updates, click the link below:


 

If you have questions, please contact your Provider Network Manager.


Provider Education​​

2018 Provider Education

MHIL Q2 2018 Provider Newsletter​

MHIL Q1 2018 Provider Newsletter

details 2017 Archive Provider Education.

details 2016 Archive Provider Education.

details 2015 Archive Provider Education.

Provider Bulletins

2018 Provider Bulletins

details 2017 Archive Provider Bulletins

details 2016 Archive Provider Bulletins

details 2015 Archive Provider Bulletin

details 2014 Archive Provider Bulletin

Provider Memos

2019 Provider Memos

November 18, 2019 - Ambulance Billing Effective January 1, 2020

November 14, 2019 - New Prior Authorization Requirments through eviCore

November 5, 2019 - Prohibition on Billing Medicaid Plan Members

October 29, 2019 - Reminder: Electronic Claim, Claim Appeals/Dispute Submission

October 17, 2019 - Ordering, Referring, Prescribing - National Provider Identifier (NPI) Requirements: Postponed

September 30, 2019 - Claims Submission Reminder

September 30, 2019 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

September 25, 2019 - Ambulance Billing Effective January 1, 2020

September 25, 2019 - New Prepayment Claims Review: Postponed

September 24, 2019 - Adult and Child BMI Provider Information

September 11, 2019 - Postponed Implementation Date for New Prior Authorization Requirements through eviCore

September 3, 2019 - Required Model of Care Training

September 3, 2019 - Important Information Regarding Vaccines for Children

August 26, 2019 - Ordering, Referring, Prescribing - National Provider Identifier (NPI) Requirements Reminder

August 20, 2019 - CMHC Claim and Line Roll Up Requirements

August 20, 2019 - Organ Transplant Authorization Reminder

July 19, 2019 - New Prior Authorization Requirements through eviCore

July 16, 2019 - CMHC Subspecialties

July 12, 2019 - Important Information Regarding Dual Eligible Beneficiaries Enrolled in Medicaid Managed Long Term Services and Supports (MLTSS)

July 10, 2019 - New Prepayment Claims Review

July 9, 2019 - Breast Cancer Screening (BCS) Provider Information

July 8, 2019 - New Sections: IAMHP Comprehensive Billing Manual

July 2, 2019 - Claim Management for Member Match Requirement

July 1, 2019 - Reminder: Provider Claims Appeals and Disputes Submission Process

June 28, 2019 - Reminder: Inpatient Psychiatric Billing

June 21, 2019 - New Phone/Fax Numbers for NICU Prior Authorization

June 20, 2019 - New Medicaid and Duals Preauthorization Requirements through eviCore

June 18, 2019 - Important Reminder: Claims Submission

June 18, 2019 - Behavioral Health Excellence Program

June 17, 2019 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

June 14, 2019 - Provider Claims Appeals and Disputes Submission Process

June 11, 2019 - Formulary Updates: Third Quarter 2019

May 21, 2019 - MCR Providers Must Submit IM-CAT Results Within 24 Hours

May 16, 2019 - Important Information Regarding Vaccines for Children

May 16, 2019 - Prior Authorization Documentation Reminder

May 7, 2019 - Prior Authorization Removal for Provider Types 28, 33, 38 and 39

May 1, 2019 - Illinois Transportation Billing Guidelines for Managed Care Processing and Payment

May 1, 2019 - Ophthalmologist and Optometrist Billing Guidelines

May 2, 2019 - Prior Authorization for Rehabilitation Services

April 15, 2019 - Reminder: Submission of Provider Roster Updates

April 15, 2019 - Reminder: Universal IAMHP Roster Required May 1, 2019

April 15, 2019 - Updated Molina Policy Regarding Reconsideration and Peer to Peer Review

April 9, 2019 - Telehealth Billing Guidelines

April 8, 2019 - Outpatient Rate Update for Critical and Non-Critical Access Hospitals

April 8, 2019 - Updated Molina Policy Regarding Behavioral Health Inpatient Stays

April 3, 2019 - Molina Provider Network Management Email Address

April 2, 2019 - Update Molina Policy Regarding Mental Health Inpatient Stays

April 1, 2019 - Behavioral Health IATP Claims Memo

March 26, 2019 - Provider Online Directory Demographic Updates

March 26, 2019 - Important Update to Molina Healthcare of Illinois Prior Authorization Requirements

March 20, 2019 - 2019 Quality Incentive Program and HEDIS Coding Booklet is now available

March 6, 2019 - Provider CAHPS Tip Sheet Now Available

March 4, 2019 - Molina Partners with Change Healthcare to Implement Coding Advisor Program

March 4, 2019 - IAMHP Comprehensive Billing Manual

February 19, 2019 - Pain Safety Initiative for Medicaid

February 1, 2019 - Primary Care Provider Assignment Reminder

February 1, 2019 - Ordering, Referring, Prescribing - National Provider Identified (NPI) Requirements

February 1, 2019 – Reminder: Dialysis Billing

January 14, 2019 - Practitioner Fee Schedule Update

January 7, 2019 - Reminder: Durable Medical Equipment Claims

details 2018 Archive Provider Memos

December 27, 2018 - New Fax Number and Prior Authorization From for Buy and Bill Medications

December 24, 2018 - New Sepsis Guidelines

December 24, 2018 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

December 18, 2018 - Claim Management for Missing or Incorrect Member Information

December 10, 2018 - Reminder: Provider Roster Template

December 3, 2018 - Community Based Mental Health Services Fee Schedule

November 21, 2018 - HFS Managed Care Billing and Encounter Reporting Guidelines: SUPR Services

November 20, 2018 - Reminder: Illinois Policy Regarding Mental Health Inpatient Stays

November 20, 2018 - Reminder: Third Party Liability

November 13, 2018 - Reminder: Payment Change for Therapeutic Leaves of Absence

November 12, 2018 - Reminder: American Society of Addiction Medicine (ASAM) Guidelines for Substance Abuse Disorders

November 12, 2018 – Community-Based Mental Health Services Fee Schedule Update

November 12, 2018 – Reminder: Authorization Codification Reminder for Providers

November 12, 2018 - Action Required: Provider Roster Template

November 5, 2018 - Reminder: Prenatal Genetic Testing Policy

October 29, 2018 - Reminder: Electronic Claims Submission and Electronic Funds Transfer Options for Providers

October 4, 2018 - New Prescriptions Required for Molina Healthcare of Illinois Members who use Humalog or Novalog

October 1, 2018 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

September 1, 2018 - Molina Healthcare to Launch New Nursing Facility Quality Program

September 1, 2018 - Reminder: Provider Claims Appeals and Disputes Submission Process

July 30, 2018 - Transportation Billing Guidelines for Managed Care Processing and Payment

July 18, 2018 - Reminder for Providers on National Correct Coding Initiative (NCCI)

July 18, 2018 - Corrected Claims Billing Requirements

July 2, 2018 - MCR Providers Must Submit CSPI Results Within 24 Hours

July 1, 2018 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

June 29 2018 - Helpful Tips for Providers Regarding Timely Filing for Claims Submission

June 28, 2018 - Partial Hospitalization Program (PHP) vs Intensive Outpatient Program (IOP) Authorization Requirements

June 11, 2018 - Registration Required for Credentialing for Molina Dual Options Providers

June 5, 2018 - Update to Provider Claims Appeals and Disputes Submission Process

June 4, 2018 - Important Updates to Quality Incentive Program

May 9, 2018 - UB04 xx7 Interim Bill Policy Change

May 7, 2018 – Provider Education Webinar Series Schedule

May 1, 2018 - Important Information Regarding Dual Eligible Beneficiaries Enrolled in Medicaid Managed Long Term Services and Supports (MLTSS)

May 1, 2018 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

April 1, 2018 - 2018 Quality Incentive Program

March 26, 2018 -Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

March 13, 2018 - Molina Hospital Readmission Review

March 13, 2018 - Advanced Imaging Requests - Urgent vs Standard Review Time

March 8, 2018 - Maximum Morphine Equivalent (MME) Dosing Update

February 26, 2018 – Use of Modifier 90 for Outpatient Lab Claims

February 23, 2018 - Prior Authorization Update for Sleep Studies

February 2, 2018 – Molina Healthcare Transportation/Ambulance Denials and Frequently Asked Questions

February 1, 2018 – NICU Claims Processing Change 

January 31, 2018 – Credentialing and Re-Credentialing

January 31, 2018 – Quality Incentive Program

January 31, 2018 – Prior Authorization Times Update

details 2017 Archive Provider Memos

December 8, 2017- Common Value Code Errors for Facility Billing and Encounters

December 1, 2017 – Illinois Prior Authorization Requirements Beginning January 1, 2018

December 1, 2017 – Attention Molina Hospital Providers: CMS Formalized Two Midnight Rule

November 28, 2017 – Provider Behavioral Health Measures Incentives

November 14, 2017 - Molina Helps Protect Members From the Flu

September 29, 2017 - Important Updates to Molina Healthcare of Illinois Prior Authorization Requirements

September 15, 2017 - National Drug Code (NDC) Billing Guidelines

September 1, 2017 - Valid Modifier to Procedure Code Combinations

September 1, 2017 - Corrected Claims Billing Requirements

August 22, 2017 - Molina Healthcare of Illinois to Incorporate American College of Radiology (ACR) Guidelines

August 21, 2017 - Molina Healthcare of Illinois Selected for Statewide Medicaid Contract

August 9, 2017 - Molina Cares Member Rewards Program

July 19, 2017 - Attention Long Term Care Providers: Patient Credit File System Configuration Update

July 19, 2017 - Community Mental Health - Enhanced (Add-On) Payment

July 10, 2017 - Newborn Enrollment Effective Date Guidance

July 1, 2017 - Processing Provider Administered Medications

June 6, 2017 - Provider Member Address Updates

June 6, 2017 - Provider Online Training Courses

May 30, 2017 - Portal System Outage

May 25, 2017 - Molina Healthcare of Illinois Yearly Provider Survey

May 22, 2017 - Illinois Transportation Billing Guidelines for Managed Care Processing and Payment

May 20, 2017 - Community Mental Health Centers Billing Guidelines

May 16, 2017 - Provider Billing Education Regarding Duplicate Claims Submissions

May 15, 2017 - Enhanced Ambulatory Patient Grouping System (EAPG) Billing Guidelines

April 20, 2017 - Important Reminder for Durable Medical Equipment and Home Health Providers

April 18, 2017 - Molina Healthcare of Illinois Update for Providers

April 14, 2017 - Responsible Prescribing of Antibiotics in Pediatrics with Upper Respiratory Infections

April 14, 2017 - Responsible Prescribing of Antibiotics in Adults with Acute Respiratory Infections

April 1, 2017 - Molina Healthcare To Implement Electronic Filing Requirement Starting July 1, 2017

April 1, 2017 - Preferred Drug List Changes Effective April 1, 2017

April 1, 2017 - Additional Prior Authorization Requirements Beginning July 1, 2017

March 27, 2017 - Important Information Regarding the Patient Credit File

March 6, 2017 - Durable Medical Equipment (DME) Supplies Billing Guidelines

March 6, 2017 - Pharmacy and Infusion Services Billing Guidelines

March 1, 2017 - Medicaid Certified Providers and the Medicare-Medicaid Alignment Initiative (MMAI)

February 21, 2017 - Provider Memo DASA Provider Memorandum Guidelines

February 13, 2017 - Revised billing guidelines for hospitals and ambulatory surgical treatment centers

February 13, 2017 - ER and Observation Services Billed with Admissions

February 21, 2017 - Provider Memo Hospital - FFS - Billing Guidelines

February 3, 2017 - IMPACT Provider Enrollment Termination

January 24, 2017 - Prohibition on Billing for ICP and FHP Enrollees

January 24, 2017 - Revised Billing Guidelines for Hospitals and Ambulatory Surgical Treatment Centers

January 9, 2017 - Medicaid Redetermination Q & A

January 1, 2017 - Processing Provider Administered Medications

details 2016 Archive Provider Memos

December 30, 2016 - J Codes Memo Updates Effective 4/1/2017

December 28, 2016 - FQHC ERC RHC Billing Guidelines

December 4, 2016 - Annual Comprehensive Exam (ACE) forms

November 22, 2016 - Updated General Acute Care and Children's Hospital Billing Guidelines

November 18, 2016 - Update on National Drug Code Coding Requirements and State Labeler Manufacturer List

November 15, 2016 - Intermediate Care Facility (ICF) for Individuals with Intellectual Disabilities (IID) – Type 029

November 15, 2016 - Nursing Facilities (NF) – Type 033

November 15, 2016 - Nursing Facilities eligible to be licensed as Specialized Mental Health Rehabilitation Facilities (SMHRFs) -Type 038

November 15, 2016 - Supportive Living Provider (SLF) – Type 028

November 8, 2016- Long Term Care Services Billing and Guidelines Information

November 7, 2016 - Redetermination: Answering Questions that Impact our Members

October 24, 2016 - MCG Provider Memorandum

October 24, 2016 - Updated important information regarding Vaccines for Children

October 14, 2016 - NICU and Transplant Fax Number Update

October 7, 2016 - Updated important information regarding Vaccines for Children

October 3, 2016 - General Acute Care and Children's Hospital Billing Guidelines

October 1, 2016 - FQHC Important information regarding Vaccines for Children

October 1, 2016 - Important information regarding Vaccines for Children

October 1, 2016 - Processing Provider Administered Medications

September 25, 2016 - Make the Most of the 2016-17 Flu Season

September 9, 2016 - Portal Down

August 30, 2016 - ER and Observation Services Billed with Admissions

August 29, 2016 - Pharmacies supplying SNFs, ICF/DD, and LTCs approved immunizations

August 22, 2016 - Revised Processing Provider Administered Medications

July 1, 2016 - Processing Provider Administered Medications

July 1, 2016 - Product Discontinuation of Preferred Diabetic Testing Supplies

July 1, 2016 - Revised Preferred Drug List (PDL) Effective

June 16, 2016 - Provider Memo Hospital Psychiatric Clinic Type A or B Billing Guidelines

June 13, 2016 - Home Health Billing Guidelines

June 10, 2016 - DASA/IMD Revised Billing Guidelines

June 1, 2016 - APL Billing Guidelines

June 1, 2016 - Physician Administered Medication Memo

May 18, 2016 - Clinical Practice and Preventive Health Guidelines Update

May 13, 2016 - Medical Assistance Program (MAP) Guidelines

May 6, 2016 - Provider Memorandum Information Update

May 6, 2016 - CORP Member and Provider Memorandum Roster

April 1, 2016 - Updated Prior Authorization Documents

January 4, 2016 - Making Most of the Flu Season

details 2015 Archive Provider Memos

December 21, 2015-SASS Providers Must Submit CSPI Results Within 24 Hours

December 17, 2015 - First Quarter 2016 Updates to the Preferred Drug List (PDL)

December 4, 2015 - Pharmacy SNF_ICF_LTC Billing Guidelines

December 2, 2015 - Transportation Memo

October 15, 2015 - Prior Authorization Q2-Q3 Provider Notification Memo

October 9, 2015 - DASA/IMD Billing Guidelines​​

October 1, 2015 - ICD-10 Provider Memo ​​

October 1, 2015 - ICD-10 Post Implementation FAQs ​​

July 24, 2015 - Medications for Treatment of Hepatitis C​​

July 13, 2015 - State of Illinois Budget Update​

July 13, 2015 - Clinical Practice & Preventive Health Guidelines Update​

June 15, 2015 - Updated Pregnancy Notification Form​

May 18, 2015 - Reimbursement Rates - No Rate Reductions for Molina Providers

May 1, 2015 - APL Procedure Codes - Billing Requirements

January 5, 2015 - New Prior Authorization Request Form for Behavioral Health Services

January 5, 2015 - Physician Administered Medications Requiring Medical Authorization

details 2014 Archive Provider Memos

details 2013 Archive Provider Memos

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