Alert!

The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.

Welcome, Mississippi 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 (844) 826-4335.

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.



Molina Healthcare has chosen Availity its exclusive provider portal

7/13/2021
 
Effective 06/15/2021, Molina Healthcare of MS launched the new Availity provider portal. Providers will still have access to our legacy portal to allow time to get acclimated with our new Availity platform. However, we highly encourage any provider who has not registered with Availity to do so as soon as possible.

On Availity, providers will have access to:

• Submit claims, send supporting claim documentation, and check claim status.
• Verify member eligibility and benefits.
• View remittances and EOPs/EOBs.
• Access Molina-specific resources through a dedicated payer space on the Availity Portal:
       o View and navigate through your member roster.
       o Submit claim appeal/dispute/reconsideration.
       o Compare your HEDIS scores with national benchmarks.
       o Submit and view prior authorizations.

Please access this link to login or register: https://www.availity.com/molinahealthcare

For additional information, please contact your Provider Services Representative or Molina Provider Contact Center at (844) 826-4335.

 

Provider News  

  • Molina Healthcare has chosen Availity
    as its exclusive provider portal
    7/13/2021
     
    Effective 06/15/2021, Molina Healthcare of MS launched the new Availity provider portal. Providers will still have access to our legacy portal to allow time to get acclimated with our new Availity platform. However, we highly encourage any provider who has not registered with Availity to do so as soon as possible.

    On Availity, providers will have access to:

    • Submit claims, send supporting claim documentation, and check claim status.
    • Verify member eligibility and benefits.
    • View remittances and EOPs/EOBs.
    • Access Molina-specific resources through a dedicated payer space on the Availity Portal:
           o View and navigate through your member roster.
           o Submit claim appeal/dispute/reconsideration.
           o Compare your HEDIS scores with national benchmarks.
           o Submit and view prior authorizations.

    Please access this link to login or register: https://www.availity.com/molinahealthcare

    For additional information, please contact your Provider Services Representative or Molina Provider Contact Center at (844) 826-4335.

     

  • Molina Healthcare is happy to announce a partnership with ProgenyHealth LLC, a company that specializes in Neonatal Care Coordination Services.

    Molina Healthcare of Mississippi is happy to announce a partnership with ProgenyHealth, a company which specializes in Neonatal Care Management Services throughout the first year of life. This is an exciting opportunity. ProgenyHealth’s care management program will enhance services to our members and support our mission to make a lasting difference in our members’ lives by improving their health and well-being.
     
    Under the agreement that begins 7/1/2021,ProgenyHealth’s Neonatologists, Pediatricians and Neonatal Nurse Care Managers will work closely with Molina Healthcare of Mississippi members, as well as attending physicians and nurses, to promote healthy outcomes for Molina Healthcare of Mississippi premature and medically complex newborns.

    The benefits of this partnership to you:

    -The support of a team who understands the complexity and stress of managing infants in the NICU and will work with you to achieve the best possible outcomes

    -A collaborative and proactive approach to care management that supports timely and safe discharge to home

    - A company that believes in sharing best practices and works with NICUs nationwide to improve the health outcomes of our next generation


    Families will have a dedicated case manager who will give support and education to members in the program. Also, they will be able to access an extensive online library and an “on-call” staff member available 24/7. For our hospitals, ProgenyHealth will serve as a liaison for Molina Healthcare providing inpatient review services and assisting with the discharge planning process to ensure a smooth transition to the home setting.

    Your process for notifying Molina Healthcare of Mississippi of infants admitted to a NICU or special care nursery will remain the same. Molina Healthcare of Mississippi will notify ProgenyHealth of admissions and their clinical staff will contact your designated staff to perform utilization management and discharge planning throughout the inpatient stay.
    If you wish to learn more about ProgenyHealth’s programs and services, call 1-888-832-2006 or visit progenyhealth.com.

    Thank you for your partnership in caring for Molina Healthcare of Mississippi members.


    Molina Healthcare and Progeny Health

     



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)