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
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
- 2023 Provider Memos
December 28, 2023 - Rate/Fee Schedule Updates—January 2024
December 27, 2023 - First Quarter 2024 Pharmacy Formulary Change Notice—Illinois Medicaid
December 22, 2023 - Register for January Provider Webinars
December 21, 2023 - Updates to Molina Clinical Policies, December 2023
December 20, 2023 - Reminder: Use Availity Essentials Portal for Advanced Imaging PAs
December 19, 2023 - 2024 Provider Manuals Now Available
December 5, 2023 - Monthly Memo Roundup: Recap of November Provider News
November 29, 2023 - Register for December Provider Webinars
November 28, 2023 - Rate/Fee Schedule Updates—December 2023
November 27, 2023 - Guidance on Telehealth Billing for SUPR Services
November 14, 2023 - *Updated* New Member Population Coming to Molina January 2024
November 13, 2023 - Submit and Track Appeals on Availity Essentials
November 9, 2023 - Enhancements to EOP/835 Refund and Forwarding Balance Reporting
November 7, 2023 - Your Opinion Matters: 2023 Provider Satisfaction Survey
November 6, 2023 - Molina’s Prior Authorization (PA) Requirements: First Quarter 2024
November 1, 2023 - Monthly Memo Roundup—Recap of October Provider News
October 27, 2023 - Rate/Fee Schedule Updates—November 2023
October 26, 2023 - Register for November Provider Webinars
October 26, 2023 - Updates to Molina Clinical Policies, October 2023
October 20, 2023 - Pregnancy and Delivery Notification Requirements
October 19, 2023 - Smart Claims Becomes Quick Claims in Availity Essentials
October 5, 2023 - Fourth Quarter 2023 Pharmacy Formulary Change Notice—Illinois Medicaid
October 2, 2023 - Monthly Memo Roundup—Recap of September Provider News
September 29, 2023 - Rate/Fee Schedule Updates—October 2023
September 28, 2023 - Pharmacy Prior Authorizations for Inpatient Behavioral Health
September 22, 2023 - Register for October Provider Webinars
September 14, 2023 - Updates to Molina Clinical Policies, August 2023
September 14, 2023 - Advanced Imaging Auto Responses for All LOBs in Availity
September 6, 2023 - Monthly Memo Roundup—Recap of August Provider News
September 1, 2023 - Annual NCQA Provider Newsletter Now Available
August 30, 2023 - How to Get Automatic Approval for Advanced Imaging Prior Authorization
August 30, 2023 - Register for September Provider Webinars
August 29, 2023 - Rate/Fee Schedule Updates—September 2023
August 25, 2023 - How To Read the EOP and 835 Enhancements
August 22, 2023 - Update to Coverage for Long-Acting Reversible Contraception (LARC)
August 17, 2023 - Take the HFS/IAMHP Pathways Survey
August 2, 2023 - Molina’s Prior Authorization (PA) Requirements—Fourth Quarter, 2023
August 1, 2023 - Monthly Memo Roundup—Recap of July Provider News
July 31, 2023 - Rate/Fee Schedule Updates—August 2023
July 27, 2023 - Updates to Molina Clinical Policies, June 2023
July 21, 2023 - Register for August Provider Webinars
July 14, 2023 - Enhancements to EOP/835 Refund and Forwarding Balance Reporting
July 12, 2023 - MCG 27th Edition Scheduled to Go Live July 20, 2023
July 3, 2023 - Monthly Memo Roundup—Recap of June Provider News
June 30, 2023 - Molina Healthcare of Illinois’ HQ Has Moved
June 30, 2023 - Providers Must Use the HFS Claim Issue Process and Template
June 29, 2023 - Rate/Fee Schedule Updates—July 2023
June 29, 2023 - HFS Complaint Tracking Process Reminder
June 28, 2023 - Register for July Provider Webinars
June 27, 2023 - Checking Member Redetermination Status in Availity
June 27, 2023 - Third Quarter 2023 Pharmacy Formulary Change Notice—Illinois Medicaid
June 7, 2023 - Reminder: Monthly PA Frequency Accumulator for Waiver Billing
June 6, 2023 - Reminder: Molina Healthcare of Illinois’ HQ Is Moving in July
June 2, 2023 - Outpatient Therapy (Physical, Occupational, Speech) & Home Health Care Require PA
June 1, 2023 - Monthly Memo Roundup—Recap of May Provider News
May 31, 2023 - Rate/Fee Schedule Updates—June 2023
May 30, 2023 - Register for June Provider Webinars
May 24, 2023 - Flexibilities Offered Under Appendix K Ending for Waiver Members
May 23, 2023 - Molina Legacy Portal ‘Sunset’ Begins
May 18, 2023 - Updates to Molina Clinical Policies, May 2023
May 17, 2023 - PA Requirements & Codes: Oncology & Cardiology Processes for Medicaid & Medicare
May 10, 2023 - Molina Healthcare of Illinois’ HQ Is Moving in July
May 2, 2023 - Monthly Memo Roundup—Recap of April Provider News
May 2, 2023 - New Date for Molina Legacy Portal ‘Sunset’
April 28, 2023 - Molina’s Prior Authorization (PA) Requirements—Third Quarter, 2023
April 28, 2023 - Rate/Fee Schedule Updates—May 2023
April 25, 2023 - Register for May Provider Webinars
April 18, 2023 - Availity Essentials Training Includes Legacy Portal Access
April 17, 2023 - Proper Use of Urgent (Expedited) Requests vs. Non-Urgent (Routine)
April 14, 2023 - Get To Know ‘Molina Guided Care’
April 13, 2023 - Updates to Molina Clinical Policies, Q1 2023
April 12, 2023 - NCH Oncology and Cardiology Prior Auth—Portal Access for Providers
April 11, 2023 - Prior Auth Required for All Types of Therapy When PHE Ends May 12, 2023
April 3, 2023 - Monthly Memo Roundup—Recap of March Provider News
April 3, 2023 - NCH Oncology and Cardiology Processes Are Live
March 30, 2023 - Rate/Fee Schedule Updates—April 2023
March 29, 2023 - Second Quarter 2023 Pharmacy Formulary Change Notice—Illinois Medicaid
March 27, 2023 - Pharmacist Billing for Hormonal Contraceptive Assessment and Consultation
March 27, 2023 - Reminder of EAPG Reimbursement Methodology
March 23, 2023 - Register for April Provider Webinars
March 22, 2023 - New Provider Webinars on 2023 Medicaid Redetermination
March 22, 2023 - Correct Coding for Sleep Studies
March 17, 2023 - Payment Refund Reporting Enhancement
March 16, 2023 - Two More Live Webinars Scheduled for NCH Oncology and Cardiology Processes
March 16, 2023 - Update: New Timeline for Molina Legacy Portal “Sunset”
March 10, 2023 - New Availity Essentials Overpayments Tool & Live Training
March 1, 2023 - Monthly Memo Roundup—Recap of February Provider News
February 28, 2023 - Rate/Fee Schedule Updates—March 2023
February 23, 2023 - Register for March Provider Webinars
February 23, 2023 - Reminder: Molina Legacy Portal To Be “Sunset” In March
February 22, 2023 - LTC Preparations for Upcoming Medicaid Redeterminations
February 17, 2023 - Revision to PA Frequency Accumulator for Waiver Billing
February 17, 2023 - Medicaid Redeterminations Are Coming Soon
February 13, 2023 - MHIL Quality Incentive Program for 2023
February 9, 2023 - Change In Lockbox Address for Refund Checks
February 1, 2023 - Updates to Molina Clinical Policies
February 1, 2023 - Monthly Memo Roundup—Recap of January Provider News
January 31, 2023 - Molina’s Prior Authorization (PA) Requirements—Second Quarter, 2023
January 30, 2023 - Planned “Sunsetting” of Molina Legacy Portal In March
January 27, 2023 - Reminder: Partnering With Healthmap Starting February 1, 2023
January 27, 2023 - Rate/Fee Schedule Updates—February 2023
January 26, 2023 - Register for February Provider Webinars
January 12, 2023 - Medicaid Initial Prescription Limits Revision
- 2022 Provider Memos
December 29, 2022 - Molina’s Prior Authorization (PA) Requirements—March 1, 2023
December 28, 2022 - Rate/Fee Schedule Updates—January 2023
December 27, 2022 - First Quarter 2023 Pharmacy Formulary Change Notice—Illinois Medicaid
December 27, 2022 - PA Codification Updates for Par Providers
December 19, 2022 - Planned “Sunsetting” of Molina Legacy Portal In 2023
December 14, 2022 - Partnering With New Century Health for Oncology and Cardiology April 1, 2023
December 8, 2022 - Availity SSO Features Re-Enabled
December 7, 2022 - CCSO System for Children with Behavioral Health Challenges
December 1, 2022 - More Details: Molina Partnering with DentaQuest Beginning January 1, 2023
December 1, 2022 - Update to Frequency Accumulator for Waiver Billing
November 30, 2022 - Rate/Fee Schedule Updates—December 2022
November 29, 2022 - New Availity Tools and Resources for Providers
November 29, 2022 - Change Healthcare “Sunsetting” ProviderNet Portal
November 28, 2022 - Register—and Re-Register—for December Provider Webinars
November 28, 2022 - Tell Us What You Think—Your Opinions Lead to Meaningful Change
November 28, 2022 - Medicare Advantage Coming to MHIL January 1, 2023
November 28, 2022 - Explanation of Payment Refund Reporting
November 28, 2022 - Update Your Information in Molina’s Provider Online Directory
November 16, 2022 - Reminder: ORP Claim Validation NPI Requirements
November 7, 2022 - New Online Peer-to-Peer Scheduling Tool for Medicaid Medical
November 2, 2022 - Molina’s Prior Authorization (PA) Requirements—First Quarter, 2023
November 1, 2022 - Reminder of Accepted Claim Submission Pathways
October 31, 2022 - Molina Partnering with New Dental Service Vendor Beginning January 1, 2023
October 31, 2022 - CCSO—New Statewide System for Children with Behavioral Health Challenges
October 28, 2022 - Rate/Fee Schedule Updates—November 2022
October 25, 2022 - COVID-19 Treatment Options from IDPH
October 21, 2022 - Register—and Re-Register—for November Provider Webinars
October 12, 2022 - HFS Requests Repayment of Hospice Room and Board Claims
September 30, 2022 - Updated Availity SSO Roadmap
September 29, 2022 - Reminder: New Process for NICU Services Starting October 1, 2022
September 27, 2022 - Register for October Webinars in Molina’s Provider Education Series
September 26, 2022 - Rate/Fee Schedule Updates—October 2022
September 22, 2022 - Quality Incentive Program for Women’s Health Extended to Entire Fourth Quarter
September 21, 2022 - Change Healthcare/ECHO Health Payment Option: Common Questions
September 15, 2022 - October Quality Incentive Program for Women’s Health
September 14, 2022 - Reminder: CAP and GAP Specialty Telehealth Registration, Medicaid
September 13, 2022 - Fourth Quarter Pharmacy Formulary Change Notice—Illinois Medicaid
September 7, 2022 - Learn ProgenyHealth Processes for NICU With Our Free Webinars
August 31, 2022 - Notification of Inpatient Clinical Validation Review
August 31, 2022 - New Process for NICU Services Starting October 1, 2022
August 29, 2022 - Rate/Fee Schedule Updates—September 2022
August 25, 2022 - Register for September Webinars in Molina’s Provider Education Series
August 23, 2022 - Update On Change Healthcare/ProviderNet Outage
August 8, 2022 - Status of Change Healthcare/ProviderNet Outage
August 3, 2022 - LTC Exceptional Care Reimbursement Claims Guidance
August 2, 2022 - Molina’s Prior Authorization (PA) Requirements—Fourth Quarter, 2022
August 1, 2022 - Partnering With ProgenyHealth for NICU Services Starting October 1, 2022
July 28, 2022 - Register for August Webinars in Molina’s Provider Education Series
July 27, 2022 - Availity SSO Features Outage Update
July 26, 2022 - Rate/Fee Schedule Updates—August 2022
July 25, 2022 - Change Healthcare/ProviderNet Outage
July 22, 2022 - The MCG 26th Edition In Effect July 26, 2022
July 21, 2022 - Availity SSO Features Temporarily Unavailable
July 20, 2022 - Interoperability At Molina
July 13, 2022 - More Electronic Payment Options Coming from Change Healthcare/ECHO Health
June 28, 2022 - Rate/Fee Schedule Updates—July 2022
June 27, 2022 - Register for July Webinars in Molina’s Provider Education Series
June 24, 2022 - Third Quarter Pharmacy Formulary Change Notice—Illinois Medicaid
June 22, 2022 - New Electronic Payment Options Coming
June 22, 2022 - Preparing for the End of the Public Health Emergency
June 15, 2022 - Help Your Patients Tackle Social Determinants of Health
June 9, 2022 - MCG Cite AutoAuth for Marketplace and Medicaid Advanced Imaging
May 26, 2022 - Rate/Fee Schedule Updates—June 2022
May 25, 2022 - Register for June Webinars in Molina’s Provider Education Series
May 20, 2022 - Claim Attachment Rules for Itemized Bill Review
May 18, 2022 - Imaging Contrast Medium Shortage and Response, With FAQs
May 11, 2022 - Meet MHIL's Chief Medical Officer
May 11, 2022 - SUPR Inpatient Billing Process Refresher
May 4, 2022 - Medicaid Billing Reminder: Long-Term Care Admission and Discharge Date Requirements
May 2, 2022 - Molina’s Prior Authorization (PA) Requirements—Third Quarter, 2022
April 28, 2022 - Rate/Fee Schedule Updates—May 2022
April 25, 2022 - Register for May Webinars in Molina’s Provider Education Series
April 20, 2022 - Update on Prepayment Claims Review Process
April 13, 2022 - MLTSS Enrollee Identification and Billing Guidelines
April 12, 2022 - HFS Complaint Tracking Process Reminder
April 4, 2022 - Availity SSO Roadmap
March 29, 2022 - Rate/Fee Schedule Updates—April 2022
March 28, 2022 - 2022 Behavioral Health Incentive Program—Bonuses for Follow-Ups
March 25, 2022 - Register for April Webinars in Molina’s Provider Education Series
March 23, 2022 - 2022 Healthy Pregnancy Incentive Program—Bonuses for Prenatal and Postpartum Care
March 22, 2022 - Pharmacy Formulary Change Notice—Illinois Medicaid
March 16, 2022 - 2022 Bonuses for Safety Net Facilities—Member Follow-Up Care
March 16, 2022 - Claims Report Now Available Through Availity
March 11, 2022 - When to Bill for Dementia Patients in Supportive Living Facilities
March 10, 2022 - Proper Use of Urgent Requests vs. Routine
March 9, 2022 - New Molina Clinical Policy Website Available to Providers
March 7, 2022 - Your Online Roadmap to MHIL Provider Resources
March 3, 2022 - MHIL Quality Incentive Program for 2022
February 28, 2022 - NICU Notification Reminders
February 25, 2022 - Register for March Webinars in Molina’s Provider Education Series
February 24, 2022 - No New Users for Molina’s Legacy Provider Portal Starting March 1, 2022
February 24, 2022 - Rate/Fee Schedule Updates—March 2022
February 10, 2022 - Update On Availity Provider Portal Transition
January 31, 2022 - Molina’s Prior Authorization (PA) Requirements—Second Quarter, 2022
January 28, 2022 - Register for February Webinars in Molina’s Provider Education Series
January 27, 2022 - Rate/Fee Schedule Updates—February 2022
January 25, 2022 - Updated Policy Regarding Reconsideration and Peer-to-Peer Review—Medicaid
January 20, 2022 - Reminder—Use the HFS Claims Process and Template
January 18, 2022 - Marketplace Info for Providers
January 12, 2022 - Notification About Check Printing Error
January 11, 2022 - Molina Provides COVID Relief to Hospitals Throughout January 2022
January 3, 2022 - Correction to Molina’s Prior Authorization (PA) Requirements—January 1, 2022
- 2021 Provider Memos
December 30, 2021 - Medicaid Pharmacy Formulary Change Notice
December 30, 2021 - Register for January Webinars in Molina’s Provider Education Series
December 27, 2021 - Rate/Fee Schedule Updates—January 2022
December 27, 2021 - Molina Healthcare of Illinois Prior Auth and Referral Marketplace Reminder
December 22, 2021 - Timeline for Inpatient Admission Notification to Change on February 1, 2022
December 17, 2021 - Molina Retaining Ophthalmology Claims and Utilization Management
December 14, 2021 - Revised Payment Integrity and Recovery Program, Additional Concepts
December 6, 2021 - Avēsis Becoming Ophthalmology Service Vendor On January 1, 2022
December 3, 2021 - Revised Payment Integrity and Recovery Program
November 30, 2021 - Rate/Fee Schedule Updates—December 2021
November 30, 2021 - Register for December Webinars in Molina’s Provider Education Series
November 22, 2021 - New Pharmacy Benefit: Flu Shots for Medicaid Members Ages 4 to 18 Years
November 16, 2021 - Secure Messaging from Claim Status Screen Enabled in Availity Portal
November 15, 2021 - Last Chance to Be Heard—Your Opinion Matters to Molina
November 5, 2021 - Updates to Molina’s Prior Authorization (PA) Requirements—January 1, 2022
November 4, 2021 - Billing Change for Non-Emergency Ground Ambulance Services
October 28, 2021 - Rate/Fee Schedule Updates—November 2021
October 28, 2021 - Avesis Becoming Ophthalmology Service Vendor On January 1, 2022
October 27, 2021 - Register for November Webinars in Molina’s Provider Education Series
October 26, 2021 - Outpatient Definitive Drug Testing Update—New Policy
October 26, 2021 - Guide to New CMHC Telehealth Billing Requirements
October 25, 2021 - Make Your Voice Heard—Your Opinion Matters to Molina
October 18, 2021 - Molina Increasing ACT Reimbursement by 7%
October 6, 2021 - Cotiviti Coding Validation for Inpatient Claims Reviews Beginning January 1, 2022
September 28, 2021 - Register for October Webinars in Molina’s Provider Education Series
September 27, 2021 - Rate/Fee Schedule Updates—October 2021
September 24, 2021 - Download and Use the New IAMHP Roster Template
September 23, 2021 - Your Information in Molina’s Provider Online Directory
September 17, 2021 - October Quality Incentive Program for Women’s Health
September 15, 2021 - Use the HFS Claims Process and Template
September 14, 2021 - Molina Extends Synagis Coverage, With Proper Prior Authorization
September 8, 2021 - Pharmacy Prior Authorizations—Partial Approval/Partial Denial Process Change
September 3, 2021 - Molina Offers Bonus Payment for In-Home COVID-19 Vaccinations
September 2, 2021 - Deadline Approaching for HFS-Required IMPACT Updates
August 31, 2021 - What Hospitals Need To Know About the SMART Act Reduction
August 31, 2021 - Prior Authorizations Transitioning Back to Molina September 1
August 30, 2021 - Reminder of EAPG Reimbursement Methodology
August 27, 2021 - Register for September Webinars in Molina’s Provider Education Series
August 26, 2021 - Rate/Fee Schedule Updates—September 2021
August 10, 2021 - Correct Assistant Surgeon Claims Procedure
August 9, 2021 - Your Opinion Matters—2021 Provider Satisfaction Survey
August 5, 2021 - Your MMP Expansion Guide
August 4, 2021 - Important Updates to Molina’s Prior Authorization (PA) Requirements
August 3, 2021 - Prior Authorizations Transitioning Back to Molina September 1
July 29, 2021 - Details Matter: Billing Guidance for Modifiers 25/59
July 28, 2021 - Rate/Fee Schedule Updates—August 2021
July 27, 2021 - Molina’s Vision Service Vendor Changing on August 1, 2021
July 26, 2021 - Register for August Webinars in Molina’s Provider Education Series
July 21, 2021 - New Quality Program for the Remainder of 2021
July 9, 2021 - MCG for Cite Guideline Transparency
July 1, 2021 - Improvements to IAMHP Roster Template
June 30, 2021 - Prior Authorizations Will Transition Back to Molina, Away from eviCore
June 29, 2021 - Rate/Fee Schedule Updates—July 2021
June 24, 2021 - Register for July Webinars in Molina’s Provider Education Series
June 22, 2021 - Molina’s Vision Service Vendor to Change on August 1, 2021
June 21, 2021 - Correct Waiver Billing Requires Medicaid Provider ID
June 18, 2021 - MEDI Screenshots Temporarily Allowed for PCF Payment Submissions
June 18, 2021 - Dive In to Availity’s Capabilities With a Free Webinar
June 16, 2021 - Molina Switching to New POD This Summer
June 10, 2021 - HFS Updates Hospital Readmission Policies
June 8, 2021 - Join Molina’s 2021 Quality Incentive Programs
June 7, 2021 - MMP Expands Statewide July 1: Are You Contracted Yet?
June 3, 2021 - Expanding Availity Access to All Illinois Providers
June 1, 2021 - Prior Authorizations Will Transition Back to Molina and Away from eviCore
May 28, 2021 - Your Information in Molina’s Provider Online Directory
May 27, 2021 - Rate/Fee Schedule Updates—June 2021
May 27, 2021 - Important Updates to Molina’s Prior Authorization (PA) Requirements
May 26, 2021 - Register for June Sessions: Provider Education Series
May 24, 2021 - HFS and Molina Procedure for Double Psych Add-On
May 20, 2021 - Secure Critical Updates for You and Your Colleagues
May 17, 2021 - MEDI Screenshot Submissions No Longer Accepted for PCF Payments
May 7, 2021 - New Medical and Behavioral Health Prior Auth Forms
May 5, 2021 - Understanding Molina’s Outpatient Hospital Claim Rollup Requirement
May 4, 2021 - Access New HEDIS® Tip Sheets and Behavioral Health Tools
April 30, 2021 - Coronavirus Response: Another Extension of Modified Prior Authorizations Process
April 29, 2021 - Rate/Fee Schedule Updates—May 2021
April 27, 2021 - Register for May Sessions: Provider Education Series
April 27, 2021 - Molina Helps Providers Reach More Patients Through Community Outreach
April 20, 2021 - HFS Guidelines for Billing and Reporting SUPR Services
April 13, 2021 - Molina’s Vision Service Vendor to Change on August 1, 2021
April 6, 2021 - MMP/Medicare Authorizations: Fax Number Updates
April 2, 2021 - Correction on Rate/Fee Schedule Updates—April 2021
April 1, 2021 - Pharmacy Prior Authorizations: Correct Procedure Reminder
March 31, 2021 - Molina is Deleting This Email Address on May 1, 2021
March 29, 2021 - Important Updates and Correction to Molina’s Prior Authorization (PA) Requirements
March 26, 2021 - Rate/Fee Schedule Updates—April 2021
March 25, 2021 - Updated Policy Regarding Reconsideration and Peer-to-Peer Review—Medicaid
March 24, 2021 - April Sessions: Provider Education Series
March 15, 2021 - Critical Update to CMHC Claim and Line Roll-Up Requirements
March 11, 2021 - Understanding Molina’s Outpatient Hospital Claim Rollup Requirement
March 9, 2021 - Johnson & Johnson COVID-19 Vaccine Facts
March 9, 2021 - Help Ensure COVID-19 Vaccine Second Dose Administration
February 26, 2021 - Rate/Fee Schedule Updates—March 2021
February 26, 2021 - March 2021 Provider Education
February 24, 2021 - Update Your Information in Molina’s Provider Online Directory
February 19, 2021 - New Sessions Featured in Provider Education Series Schedule
February 15, 2021 - Molina Seeks Your Expertise for Quality Programs
February 10, 2021 - Temporary PA Suspension of Surgical Procedures Appropriate for an ASC
February 4, 2021 - Help Improve Member Experience and Satisfaction Through CAHPS®
February 3, 2021 - Don’t Lose Touch—Molina is Deactivating an Old Email Address
February 1, 2021 - Enroll to Become a COVID-19 Vaccine Provider
January 29, 2021 - Rate/Fee Schedule Updates—February 2021
January 28, 2021 - Reminders—Proper Use of Urgent Requests vs. Routine, Plus ASC Redirection
January 21, 2021 - Update to Detailed Transportation Billing Guidelines
January 20, 2021 - What Providers Need to Know About the COVID-19 Vaccine and Distribution
January 15, 2021 - COVID-19 Public Health Emergency Extended Again
January 13, 2021 - Do You Know Who Your Provider Network Manager Is?
January 11, 2021 - Encouraging Preventive Care for Women in 2021
- 2020 Provider Memos
December 9, 2020 - Improve Service and Increase Efficiency: Enroll in EFT/ERA
December 1, 2020 - Administrative Days for Certain Inpatient Hospital Stays
November 10, 2020 - Surgical Procedure Prior Authorizations Update: December 1, 2020
November 9, 2020 - Molina Wants You for the BEP Program; It's Good for Your Business
November 6, 2020 - UB/837I Drug Code Billing and NDC Requirements
October 29, 2020 - Policy Reminder: CBHS Care Guidelines for Children in Psychiatric Crisis
September 17, 2020 - OTP Billing Reminder: Only CMS-Registered Providers Will Be Reimbursed
August 26, 2020 - Reminder of Waiver Billing Guidelines Effective January 1, 2020
June 12, 2020 - Update and Reminder: New Prepayment Claims Review
June 8, 2020 - Hospital Professional Billing Transition to Outpatient Institutional Claim Format
May 28, 2020 - Provider Notification: Itemized Bill Claim Review
May 12, 2020 - Coordinated Behavioral Health Services (CBHS) Memo
April 30, 2020 - Value Code 80 and 81 Accommodation Revenue Code Requirements
April 14, 2020 - Medicaid Billing: Noncovered Diagnosis Codes
March 18, 2020 - Coding of Evaluation and Management Services
February 14, 2020 - Continuity of Care Reminder
January 31, 2020 - Value Code Requirements
January 28, 2020 - Reminder Ambulance Billing Effective January 1, 2020