Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

Quick Resources

  • Join Our Network

    Would you like to become a Molina Medicaid provider? Visit our page called Join Our Network for step-by-step instructions.

  • Claims
    The Claims Department is located at our corporate office in Long Beach, CA. All hard copy (CMS-1500, UB-04) claims must be submitted by mail to the address listed below. Electronically filed claims must use EDI Claims/ Payor ID number - 77010. You can also submit claims via our web portal. To verify the status of your claims, please call our Provider Claims Representatives at the numbers listed below.

     

    Mailing Address
    Molina Healthcare of Mississippi, Inc.
    PO BOX 22618
    Long Beach, CA 90801

    Phone:(844) 826-4335  

    If your claims are mailed to our Jackson, MS office, they will be returned unprocessed.

     

  • Appeals and Grievances

    Appeals and Grievances

    The Appeals and Grievances Department is located at our Jackson, MS office. If you chose to submit a written appeal and/or Grievance, it must be submitted by mail to the address listed below. Mailing  

    Address
    Molina Healthcare of Mississippi, Inc.
    ATTN: Appeals and Grievance Department
    188 E. Capitol St., Suite 700
    Jackson, MS 39201


         

    Pre-Service Appeals

    For providers seeking to appeal to denied Prior Authorization (PA) on behalf of a member only, fax Member Appeals at (844) 808-2407.

    MSCAN Pre-Service Appeals Form

    CHIP Pre-Service Appeals Form


    Fax
    Pre-Service Appeal : (844) 808-2407


    Post-Service Appeals

    For providers seeking to appeal a denied claim only, fax Provider Claim Disputes/Appeals at (844) 808-2409.

    If a provider rendered services without getting an approved PA first, providers must submit the claim and wait for a decision on the claim first before submitting a dispute/appeal to Molina. 

    MSCAN Post-Service Appeals Form

    CHIP Post-Service Appeals Form


    Fax
    Post Service Appeal: (844) 808-2409


    For more information, refer to the Provider Manual.
  • Sign up and subscribe for Mississippi Health Plan's eNews


    • Form Heading

       

    *Please be sure to accept Mississippi as a sender to avoid eNews going in your spam folder.




Quick Links

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)