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Recent Updates

 
Effective Jan. 1, 2020, the Ohio Department of Medicaid (ODM) is partnering with the Medicaid Managed Care Plans (MCPs) to implement a unified preferred drug list (UPDL). Find out more here.
The Centers for Medicare and Medicaid Services (CMS) requires all contracted providers complete annual Cultural Competency and Model of Care training by Dec. 31, 2019. Find out more about Cultural Competency here and Model of Care here.
Attention Behavioral Health (BH) Providers: Effective Jan. 1, 2020, providers will be required to follow the standard claim reconsideration process when disputing how a claim was processed. Learn more here.
Effective Jan. 1, 2019, the authorization reconsideration process was updated. Pre-service and post-service authorizations have been combined into a single process and claim reconsiderations will now follow a separate process. To learn more, click here.
The current Prior Authorization (PA) Code Lists became effective Oct 1, 2019 for Medicare and on Nov. 1 for Medicaid and Marketplace. View them hereMedicare/MMP Medicare Medicaid/MMP Medicaid Marketplace 

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Your Opinion Matters to Molina

Email us to share your comments, concerns or ideas. Your feedback is important to us. Let us know what we're doing well and what we can do to improve.
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Molina Provider Trainings 
 
Monthly It Matters to Molina Provider Forum:
 
Topic: Claim Reconsideration: Learn how to use the Provider Portal to request a claim reconsideration when disputing a payment denial, payment 
amount or code edit and more.
 
- Wed., Jan. 22, 1:30 to 2:30 p.m. meeting number 283 642 470
 
Monthly Claim Submission Training: 
- Tues., Jan. 14, 3 to 4 p.m. meeting number 803 035 156
- Wed., Feb. 12, 10 to 11 a.m. meeting number 801 897 563
 
Monthly Provider Portal Training:
 
- Thurs., Jan. 23, 11 a.m. to 12 p.m. meeting number 801 483 555
- Mon., Feb. 17, 11 a.m. to 12 p.m. meeting number 804 265 409
 
Quarterly Provider Orientation:
 
- Fri., Feb. 28, 11 a.m. to 12 p.m. meeting number 809 645 718
 
WebEx meetings do not require a password. Click “Join” at WebEx.com or call (866) 499-0396 and follow the instructions.

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