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Recent Updates

 
Effective Jan. 1, 2019, the authorization reconsideration process has been 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.
Effective now, the file submission size for uploading appeals on the Provider Portal has increased from 20 MB to 125 MB. Find out more here.
The current Prior Authorization (PA) Code Lists became effective Jan 1, 2019. View them here: Medicaid/MMP Medicaid Only/Marketplace | Medicare/MMP Duals
Attention Behavioral Health (BH) Providers: Find Ohio Department of Medicaid (ODM) BH updates and resources here. View the Molina Healthcare BH Redesign Provider Training here. Additional resources are available under the "Health Resources" tab above and our Claims Features Training is available here.
CMHC & SUD providers - Have you sent us your current provider roster? Having this information helps us update our provider information system and to avoid claim payment delays. Please use this BH Provider Form.

Molina is offering monthly training sessions!
 
Claim Submission Training:
·    Tues., Jan. 22, 1 to 2 p.m. meeting number 805 966 751
·    Tues., Feb. 26, 1 to 2 p.m. meeting number 806 150 085
·    Wed., Mar. 13, 2 to 3 p.m. meeting number 808 058 460
 
Provider Portal Training:
·    Thurs., Jan. 24, 2 to 3 p.m. meeting number 802 004 721
·    Thurs., Feb. 28, 2 to 3 p.m. meeting number 806 568 243
·    Mon., Mar. 18, 2 to 3 p.m. meeting number 803 489 792
 
WebEx meetings do not require a password. Click “Join” at WebEx.com or call (866) 499-0396 and follow the instructions.

Important Reminder:

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)

 

Please use the PIF Form to make these changes.

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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