News & Updates
Molina Healthcare of Illinois is committed to bringing you critical updates and information. Through Provider Memos (bulletins) and email updates, we share news with you about our health plan, new opportunities to engage with us, and critical policy updates. If you have questions, please contact your Provider Relations Manager.
Medicaid Redeterminations Provider Toolkit
- 2025 Provider Memos
December 2, 2025 - Monthly Memo Roundup: Recap of November Provider News
November 25, 2025 - Rate/Fee Schedule Updates: December 2025
November 24, 2025 - Register for December Provider Webinars
November 20, 2025 - Molina to Partner With VSP Vision for HMO D-SNP
November 18, 2025 - PA Requirements for H2016, Community Support Team, Rescinded
November 17, 2025 - Updates to Medicaid Pharmacy Policies, Fourth Quarter 2025
November 14, 2025 - Notification Timeline for Residential SUD Changing for Medicaid
November 10, 2025 - Molina to Partner With SKYGEN Dental for Medicaid and D-SNP
November 10, 2025 - You Still Have Time To Make Your Voice Heard
November 4, 2025 - Monthly Memo Roundup: Recap of October Provider News
October 30, 2025 - Recording Peer-to-Peer Discussions Is Prohibited
October 30, 2025 - Upcoming Changes to Medicaid PA Requirements: First Quarter 2026
October 29, 2025 - PA Requirements Being Removed for Key CPT Codes In Medicaid
October 29, 2025 - Notification Timeline for Behavioral Health Changing for Medicaid
October 28, 2025 - Rate/Fee Schedule Updates: November 2025
October 24, 2025 - Transitioning to Digital-Only PA Requests In 2026
October 23, 2025 - Updates to Molina Clinical Policies, October 2025
October 22, 2025 - Register for November Provider Webinars
Updated November 20, 2025 - New Requirement: Documentation for PA Requests
October 2, 2025 - Monthly Memo Roundup: Recap of September Provider News
September 29, 2025 - Rate/Fee Schedule Updates: October 2025
September 26, 2025 - Register for October Provider Webinars
September 25, 2025 - Using Z Codes To Improve Patient Health
September 24, 2025 - Policy Regarding Respiratory Viral Panels, Medicaid
September 23, 2025 - Availity Updates With Providers In Mind
September 22, 2025 - Bausch Termination from Medicaid Drug Rebate Program
September 3, 2025 - Monthly Memo Roundup: Recap of August Provider News
August 28, 2025 - Register for September Provider Webinars
August 27, 2025 - Rate/Fee Schedule Updates: September 2025
August 26, 2025 - Renal Dialysis Add-On for Nursing Facility Residents
August 26, 2025 - Updates to Molina Clinical Policies, August 2025
August 15, 2025 - Changes to PA Requirements for Skin Substitutes: Fourth Quarter 2025
August 14, 2025 - Updates to Medicaid Pharmacy Policies, Third Quarter 2025
August 14, 2025 - Digital Correspondence Coming to Availity Essentials
August 8, 2025 - Live Provider Webinars on Upcoming DSNP Plan
August 1, 2025 - Monthly Memo Roundup: Recap of July Provider News
July 30, 2025 - Rate/Fee Schedule Updates: August 2025
July 29, 2025 - Upcoming Changes to PA Requirements: Fourth Quarter 2025
July 25, 2025 - Register for August Provider Webinars
July 9, 2025 - Reminder: Transitioning to Multi-Payer Availity Authorization Tool
July 7, 2025 - Provider Revalidations Continue; HFS Holds Town Halls
July 3, 2025 - Monthly Memo Roundup: Recap of June Provider News
July 1, 2025 - Updates to Molina Clinical Policies, June 2025
June 30, 2025 - Register for July Provider Webinars
June 30, 2025 - Rate/Fee Schedule Updates: July 2025
June 24, 2025 - PA Requirements for Out-of-Network Providers
June 18, 2025 - New PA Requirements for H2016, Community Support Team Postponed
June 18, 2025 - UM Changes for Emergent Inpatient Levels of Care Postponed
June 10, 2025 - DPP-4 Inhibitor and GLP-1 Receptor Agonist Therapeutic Duplication
June 3, 2025 - Monthly Memo Roundup: Recap of May Provider News
June 2, 2025 - Register for June Provider Webinars
May 29, 2025 - CME Sessions To Help Providers Address Public Health Issues
Updated November 13, 2025 - New PA Requirements for H2016, Community Support Team
May 27, 2025 - Rate/Fee Schedule Updates: June 2025
May 15, 2025 - Updated Turnaround Time for Medicaid Standard PA
May 9, 2025 - Transitioning to Multi-Payer Availity Authorization Tool
May 8, 2025 - Updates to Medicaid Pharmacy Policies, Second Quarter 2025
May 7, 2025 - Change Coming for ASAM Levels of Care Reviews
May 6, 2025 - Monthly Memo Roundup: Recap of April Provider News
Updated June 12, 2025 - UM Changes Coming for Emergent Inpatient Levels of Care
May 1, 2025 - UM Changes Coming Regarding MCO Transparency
May 1, 2025 - Changes to PA Requirements: Third Quarter 2025
April 29, 2025 - Rate/Fee Schedule Updates: May 2025
April 23, 2025 - Updates to Molina Clinical Policies, April 2025
April 22, 2025 - Register for May Provider Webinars
April 21, 2025 - Criteria for Administrative Days
April 18, 2025 - COVID Vaccination PA for Non-Par FQHCs, RHCs, and ERCs
April 1, 2025 - Monthly Memo Roundup: Recap of March Provider News
March 27, 2025 - HFS Provider Revalidation Town Halls
March 26, 2025 - Rate/Fee Schedule Updates: April 2025
March 24, 2025 - Register for April Provider Webinars
March 20, 2025 - MCG 29th Edition Scheduled to Go Live April 29, 2025
March 19, 2025 - Medicaid Formulary PDL Change: Humira Biosimilars
March 18, 2025 - Addition of Lymphir to PA Code List
March 14, 2025 - Medicaid Formulary PDL Changes, First Quarter 2025
March 13, 2025 - Molina Member Identification Toolkit
March 13, 2025 - Monthly Roster Submission for Data Accuracy
March 10, 2025 - Updates to Molina Clinical Policies, February 2025
March 10, 2025 - Evolent (New Century Health) Clinical Policy Updates
March 6, 2025 - Medicaid Formulary Change: Blood Glucose Monitors and Supplies
March 6, 2025 - Get to Know Your Dedicated Support Person
March 3, 2025 - Monthly Memo Roundup: Recap of February Provider News
February 26, 2025 - Rate/Fee Schedule Updates: March 2025
February 25, 2025 - Updates to Medicaid Pharmacy Policies, First Quarter 2025
February 24, 2025 - Register for March Provider Webinars
February 24, 2025 - Communication Roadmap: Disputes/Appeals, Recoveries, Medical Records
February 20, 2025 - Change in PA Fax Number for Sleep Study and Genetic Testing
February 18, 2025 - Why the CAHPS® Survey Matters to Providers
February 7, 2025 - Growing Our Doula Provider Network
February 7, 2025 - Growing Our Lactation Consultant Provider Network
February 5, 2025 - Monthly Memo Roundup: Recap of January Provider News
February 4, 2025 - Clarification on Medicaid PA Forms, Guide
January 31, 2025 - Rate/Fee Schedule Updates: February 2025
January 30, 2025 - Changes to PA Requirements: Second Quarter 2025
January 28, 2025 - Register for February Provider Webinars
January 21, 2025 - Correct Coding for Sleep Studies
January 15, 2025 - 2025 Provider Manuals Available Online
January 8, 2025 - Updates to Evolent Cardiology and Oncology Policies, First Quarter 2025
January 8, 2025 - Unblocking Molina Fax Numbers for UM Communications
January 2, 2025 - Monthly Memo Roundup: Recap of December Provider News
- 2024 Provider Memos
December 23, 2024 - Provider Revalidations Continue; Second Cycle Ending Soon
December 20, 2024 - Rate/Fee Schedule Updates: January 2025
December 19, 2024 - Updates to Molina Clinical Policies, December 2024
December 18, 2024 - Register for January Provider Webinars
December 12, 2024 - Diabetic Eye Exams and Retinal Screenings
December 2, 2024 - Monthly Memo Roundup: Recap of November Provider News
November 26, 2024 - Rate/Fee Schedule Updates: December 2024
November 26, 2024 - Register for December Provider Webinars
November 25, 2024 - Diagnosis Codes on Lab Claims
November 19, 2024 - Don’t Miss Out on Illinois Provider Updates!
November 18, 2024 - Prior Authorization Application Update in Availity
November 14, 2024 - Daily Unit Updates for Outpatient Therapy
November 12, 2024 - Provider Revalidations Continue; First Cycle Ending Soon
November 11, 2024 - Be the Agent of Positive Change in a Child’s Life
November 7, 2024 - Updates to Molina’s Medicaid Pharmacy Policies, Fourth Quarter 2024
November 4, 2024 - Monthly Memo Roundup: Recap of October Provider News
October 30, 2024 - Rate/Fee Schedule Updates: November 2024
October 29, 2024 - Molina’s PA Requirements: First Quarter 2025
October 24, 2024 - Register for November Provider Webinars
October 14, 2024 - Updates to Molina Clinical Policies, October 2024
October 3, 2024 - Get to Know Your Dedicated Support
October 1, 2024 - Monthly Memo Roundup: Recap of September Provider News
September 30, 2024 - Rate/Fee Schedule Updates: October 2024
September 27, 2024 - Regulatory Standards of Member Access to Care
September 27, 2024 - Register for October Provider Webinars
September 6, 2024 - New PA Tool Helps with Home Health Requests
September 5, 2024 - Monthly Memo Roundup: Recap of August Provider News
August 29, 2024 - Rate/Fee Schedule Updates: September 2024
August 27, 2024 - Claim Coding Requirements Reminder
August 26, 2024 - Be the Source of Positive Change in a Child’s Life
August 23, 2024 - Updates to Molina Clinical Policies, August 2024
August 20, 2024 - Updates to Molina’s Pharmacy Policies, Third Quarter 2024
August 19, 2024 - Register for September Provider Webinars
August 16, 2024 - HFS Is Resuming Provider Revalidations
August 2, 2024 - Change in PA Requirements for Genetic Testing
August 1, 2024 - Molina’s PA Requirements: Fourth Quarter 2024
August 1, 2024 - Rate/Fee Schedule Updates: August 2024
August 1, 2024 - Monthly Memo Roundup: Recap of July Provider News
July 31, 2024 - In-Office Laboratory Tests & Preferred Labs Update
July 26, 2024 - Register for August Provider Webinars
July 24, 2024 - HFS Complaint Tracking Process Reminder
July 18, 2024 - Correct Coding for Sleep Studies
July 17, 2024 - CPT Code Required at Time of Admission Notification
July 16, 2024 - Medicaid Pharmacy Benefit: MMR Vaccine
July 11, 2024 - New Codes Added to Evolent (NCH) Oncology PA
July 10, 2024 - Capitalize on the Knowledge of Your Provider Relations Manager
July 9, 2024 - Removal of Codes from PA Codification List
July 8, 2024 - Billing Molina for Home Modification Services
July 2, 2024 - Monthly Memo Roundup: Recap of June Provider News
July 1, 2024 - Rate/Fee Schedule Updates: July 2024
June 27, 2024 - Register for July Provider Webinars
June 27, 2024 - Evolent (New Century Health) Cardio Policy Updates
June 26, 2024 - Updates to Molina Clinical Policies, June 2024
June 7, 2024 - Provider/Staff Survey
June 5, 2024 - New PA Fax Numbers for Cardiology and Oncology
June 4, 2024 - Evolent (New Century Health) Policy Updates
June 3, 2024 - Monthly Memo Roundup: Recap of May Provider News
May 31, 2024 - Rate/Fee Schedule Updates: June 2024
May 23, 2024 - Register for June Provider Webinars
May 23, 2024 - Testing for Lead Levels In Children
May 21, 2024 - Administrative Days for Certain Inpatient Stays
May 16, 2024 - CCSO System for Children with Behavioral Health Challenges
May 10, 2024 - Change in Prior Auth for Hospice Room and Board
May 3, 2024 - Reminder That Balance Billing Is Not Allowed
May 1, 2024 - Molina’s PA Requirements (Codification Updates): Third Quarter 2024
May 1, 2024 - Monthly Memo Roundup: Recap of April Provider News
April 30, 2024 - Rate/Fee Schedule Updates: May 2024
April 29, 2024 - Register for May Provider Webinars
April 29, 2024 - Updates to Molina’s Pharmacy Policies, Second Quarter 2024
April 26, 2024 - Updates to Molina Clinical Policies, April 2024
April 11, 2024 - Reminder of Taxonomy Requirements
April 11, 2024 - Optum-Change Healthcare Outage Update
April 5, 2024 - PA Requirements for Outpatient Therapy and Home Health Care
April 3, 2024 - Leverage the Knowledge of Your Provider Relations Manager
April 2, 2024 - Partnering with Molina Case Management to Benefit Discharging Patients
April 2, 2024 - Monthly Memo Roundup: Recap of March Provider News
March 29, 2024 - Include POS on Claims for COVID Vaccines
March 28, 2024 - Rate/Fee Schedule Updates: April 2024
March 26, 2024 - ASAM 4th Edition Scheduled to Go Live April 29, 2024
March 22, 2024 - Register for April Provider Webinars
March 18, 2024 - Optum-Change Healthcare Outage Update
March 14, 2024 - National Drug Code (NDC) Validation Process Update
March 13, 2024 - Update On Optum-Change Healthcare Outage
March 12, 2024 - MCG 28th Edition Scheduled to Go Live April 15, 2024
March 1, 2024 - Monthly Memo Roundup: Recap of February Provider News
February 29, 2024 - Register for March Provider Webinars
February 29, 2024 - Rate/Fee Schedule Updates: March 2024
February 29, 2024 - Update on Optum-Change Healthcare Outage
February 27, 2024 - Updates to Molina Clinical Policies, February 2024
February 26, 2024 - Optum-Change Healthcare Outage
February 6, 2024 - Monthly Memo Roundup: Recap of January Provider News
February 2, 2024 - Reminder: Billing With the Correct Authorization Number
February 1, 2024 - Molina’s PA Requirements: Second Quarter 2024
January 31, 2024 - *Updated* Copays Commencing for HBIA and HBIS Programs
January 30, 2024 - Rate/Fee Schedule Updates: February 2024
January 25, 2024 - Register for February Provider Webinars
January 9, 2024 - Roster Training and Resources for Providers
January 4, 2024 - *Updated* Updates to HBIA and HBIS Programs for Medicaid
January 3, 2024 - Monthly Memo Roundup: Recap of December Provider News