Provider Bulletin

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​The Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures.

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2019Month
Provider Bulletin – Special Edition Behavioral Health: Provider Demographic Update, Narcan Nasal Administration, BH Redesign & Integration, Psychological Testing Codes, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Top Denials with Remit Codes, Active Medicaid ID Number, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQMarch 2019
Provider Bulletin: 2019 HEDIS® Data Collection, Hospital Based Clinic Visit Facility Fees, MyCare Ohio Newborn Coverage, SACWIS Newborn Coverage, Authorization & Claim Reconsideration Process Update, Standard Authorization Form, Provider Demographic Updates, PA Requirements for Non-Par Providers, NDC Billing Guidelines, Changes to PA Code List, Provider Training, Americans with Disabilities Act, Cultural & Linguistic Competency, New File Size for SubmissionsMarch 2019
Provider Bulletin – Special Edition: WavierFebruary 2019
Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQFebruary 2019
Provider Bulletin: Molina Holding Claims, LARC Payment, ASD Code Updates, New File Size for Submissions, Medicaid ID, NDC Billing Guidelines, Holding Claims, Did You Know, Changes to PA Code List, Provider TrainingFebruary 2019
Provider Bulletin – Special Edition: Sepsis and Septic Shock Payment PolicyJanuary 2019
Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQJanuary 2019
Provider Bulletin: Medicaid Unified PDL, New File Size for Submissions, PA – Urgent vs. Non-Urgent, NF Ventilator Program Update, Medicaid ID, NDC Billing Guidelines, ODM BH Redesign, Did You Know, Changes to PA Code List, Provider Training, Holding ClaimsJanuary 2019
2018Month
Provider Bulletin – Special Edition: Waiver Signature RequirementsDecember 2018
Provider Bulletin – Special Edition: HolidayDecember 2018
Provider Bulletin – Special Edition: Authorization & ReconsiderationDecember 2018
Provider Bulletin – Special Edition Behavioral Health: Active Medicaid ID Number, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQDecember 2018
Provider Bulletin: Medicaid ID, Preferred Drug List, Waiver Signature Requirement, Holding Claims, 2018 Open Enrollment, Medicare Reimbursement, Home Health Fax Numbers, NDC Billing Guidelines, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Molina Partners with Cavs, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy CapsDecember 2018
Provider Bulletin – Special Edition: COAAANovember 2018
Provider Bulletin – Special Edition: COAAA Follow UpNovember 2018
Quality Provider Bulletin: CPT II Codes for Blood Pressure Results, November is National Diabetes Awareness Month, Prenatal Risk Assessment Form, Well Child Visits, Molina Partners with Cleveland Cavaliers on New Member Incentive ProgramNovember 2018
Provider Bulletin – Special Edition: Unified PDLNovember 2018
Provider Bulletin – Special Edition: Public Comment​November 2018
Provider Bulletin – Special Edition Behavioral Health: BH Provider Form, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQs​November 2018
Provider Bulletin: 2018 Open Enrollment,​ Medicare Reimbursement – SNF, Home Health Fax Numbers, Transportation Billing, NDC Billing Guidelines, Third Party Biller Functionality, 2018/2019 Flu Season, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Traini​ng, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy Caps​November 2018
Provider Bulletin – Special Edition Behavioral Health: Claims Payment Systematic Error, BH Provider Form, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Enrollment Update, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, FFS Prior Authorizations, PA for New Services, Behavioral Health FAQ​October 2018
Provider Bulletin – Special Edition: Cultural Competency​October 2018
Provider Bulletin: Updated PIF Form, Post-Acute Provider Intake Form, Healthchek Reminder, Tobacco Cessation, Care Coordination Visit Guide, Molina and Cavs Partnership, Rendering Provider NPI, BH Carve-In for PCP Providers, ODM BH Redesign, Sterilization, Hysterectomy and Abortion, Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Updated In-Office Lab Testing, Corrected Claims, Outpatient Therapy Caps​October 2018
Quality Provider Bulletin: In-Home Blood Pressure Program, Total Diabetes Care Program, Behavioral Health Redesign, Tips on Improving the Use of Multiple Concurrent Antipsychotics, Coding Tips for Pregnancy Related Services, ICD-10-CM Diagnosis Coding, HEDIS Tips Booklet Minor Misprint, Wellness Measure TipsSeptember 2018
Provider Bulletin – Special Edition: OBGYNSeptember 2018
Provider Bulletin – Special Edition Behavioral Health: Corrected claims, Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New Services Behavioral Health – Frequently Asked QuestionsSeptember 2018
Provider Bulletin: Updated Drug Formulary, Molina Announces Partnership with Cleveland Cavaliers, Medical Foods, Americans with Disabilities Act, Cultural Competency, Updated In-Office Laboratory Testing List, Sterilization, Hysterectomy and Abortion Consent Forms, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In for Primary Care Providers, ODM Behavioral Health (BH) Redesign, Notice of Changes to Prior Authorization (PA) Requirements, Outpatient EAPG Services, Corrected Claims, Provider Training Sessions, Outpatient Therapy Caps, Fighting Fraud, Waste & AbuseSeptember 2018
Provider Bulletin – Special Edition Behavioral Health: Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Behavioral Health – Frequently Asked Questions, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New ServicesAugust 2018
Provider Bulletin – Special Edition: EVVAugust 2018
Provider Bulletin: Licensed Practical Nurses (LPN) Renewal 2018, Complex Claim Review Process, Model of Care Training, Sterilization, Hysterectomy and Abortion Consent Forms, Molina Healthcare Quality Living Program Awardees, Inpatient Admission and Review, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In Information for Primary Care Providers, Behavioral Health Member Eligibility Assistance, ODM Behavioral Health (BH) Redesign, Did You Know?, Notice of Changes to Prior Authorization (PA) Requirements, Top Claim Denials, Outpatient EAPG Services, Provider Newsletter, Updated – Corrected Claims, Updated In-Office Laboratory Testing List, Provider Training Sessions, Non-Par Laboratory Testing PA, Outpatient Therapy Caps, Fighting Fraud, Waste & AbuseAugust 2018
Provider Bulletin – Special Edition Behavioral Health: Active FFS Prior Authorizations, Upcoming Behavioral Health Sessions, Upcoming Face to Face Orientations, Behavioral Health Carve-In Information for All Providers, Rendering Provider NPI, Service Codes Billable to Medicare and Third Party Liability, Member Eligibility, ERA and EFT for Providers, Common Billing Errors that Cause Claims to Deny, Behavioral Health Redesign Claims Testing, Active Medicaid ID Number, Provider Support Available, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Behavioral Health – Frequently Asked Questions, Rendering Providers in Provider Portal, BH Rendering Testing Guidance, New Opioid Education Resources, Requesting Prior Authorization for New Services, Claims Features TrainingJuly 2018
Provider Bulletin - Special Edition: Model of CareJuly 2018
Provider Bulletin - New Nursing Facility Guide, Active Medicaid ID Number, BH Carve in for PCPs, Rendering Provider NPI, BH Independence - OH Training, BH Springdale - OH Training, ODM BH Redesign, BH Member Eligibility Assistance, Medicaid Redetermination, Changes to PA Code List, Corrected Claims, In-Office Laboratory Test List, Provider Training, Non-Par Laboratory Testing PA, DME Q&A Session, Outpatient Therapy CapsJuly 2018
Provider Bulletin – Special Edition: New Nursing Facility GuideJune 2018
Provider Bulletin – Special Edition Behavioral Health: Molina BH WebEx Training, Independence Ohio Training, Identifying a Molina Member, Behavioral Health FAQ, Rendering Providers, BH Claims Testing, Common Billing Errors, Provider Support, Enrollment Update, BH Testing Guidance, Opioid Education Resources, PA for New Services, Claims Features TrainingJune 2018
Quality Provider Bulletin: Pregnancy Rewards Changes, Changes to Passport to Perks Incentive Program, Proper Blood Pressure Readings, HbA1c In-Office Testing, 7-Day Follow Up After Hospitalization for Mental Illness (FUH) MeasureJune 2018
Provider Bulletin: Nursing Facility Room & Board, In-Office Laboratory Test List, Medicaid Redetermination, New NPI Requirements, Medicaid Check Runs, Outpatient Therapy Caps, Enrollment Application, Corrected Claims, ODM BH Redesign, FQHC Transportation, Provider Training, DME Q&A Sessions, Online Claim Reconsiderations, NDC Billing Guidelines, Non-Par Laboratory Testing PAJune 2018
Provider Bulletin – Special Edition: FQHC Transportation ReimbursementMay 2018
Provider Bulletin – Special Edition: Behavioral Health RedesignMay 2018
Provider Bulletin: Outpatient Therapy Caps, DME Q&A Sessions, Enrollment Application, Pregnancy Rewards, Provider Satisfaction Survey, Corrected Claims, ODM BH Redesign, Change to PA Code List, Provider Training, Cures Act MAT Training, Online Claim Reconsiderations, NDC Billing Guidelines, Physician Laboratory Tests, Non-Par Laboratory Testing PAMay 2018
Provider Bulletin – Special Edition: Medicaid Restricted Coverage PeriodsApril 2018
Provider Bulletin – Special Edition: Behavioral Health RedesignApril 2018
Provider Bulletin: Provider Satisfaction Survey, Quality Living Program Awardees, Concurrent & Post Payment Denials, Corrected Claims, 2018 HEDIS® Data Collection, Cures Act MAT Training, Provider Training, ODM BH Redesign, Partners in Care, Americans with Disabilities Act, Physician Laboratory Tests, Non-Par Laboratory Testing PA, Online Claim Reconsideration, NDC Billing GuidelinesApril 2018
Provider Bulletin – Special Edition: Waiver ServicesMarch 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign March 2018
Provider Bulletin: Corrected Claims, Provider Training, Physician Laboratory Tests, 2018 HEDIS® Data Collection, Cures Act MAT Training, ODM BH Redesign, Facility Claims, Cultural Competency, Access Standards, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim ReconsiderationMarch 2018
Quality Provider Bulletin: Provider Incentive for Prenatal Care, Postpartum Care Coding Tips, Retinopathy Screenings, BH Redesign, Antipsychotics in Children and AdolescentsFebruary 2018
Provider Bulletin – Special Edition: Behavioral Health RedesignFebruary 2018
Provider Bulletin: 2018 HEDIS® Data Collection, Cures Act MAT Training, BMI Reporting, Postpartum Care Coding Tips, ODM BH Redesign, Physician Laboratory Tests, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim ReconsiderationFebruary 2018
Provider Bulletin – Special Edition: Behavioral Health RedesignJanuary 2018
Provider Bulletin: Laboratory Testing, Non-Par Laboratory Testing, ODM Behavioral Health, National Drug Code, Updated PA Code List, Online Claim ReconsiderationJanuary 2018
2017Month
Holiday Provider Bulletin: Happy Holidays from Molina!December 2017
Provider Bulletin – Special Edition: Behavioral Health RedesignDecember 2017
Provider Bulletin: Corrected Claims, ODM Behavioral Health, NDC Billing Guides, New Transportation Vendor, Office Laboratory Tests, New PA Code List, Mailing Information, Evaluation & Management, Fee-for-time Compensation, Online Claim ReconsiderationDecember 2017
Quality Provider Bulletin: Timely Prenatal Care, National Diabetes Awareness Month, HEDIS® Measure Spotlight: Follow-Up After Hospitalization for Mental IllnessDecember 2017
Provider Bulletin – Special Edition: Behavioral Health Redesign Claims TestingNovember 2017
Provider Bulletin – Special Edition: Medicaid Enrollment ID RequirementsNovember 2017
Provider Bulletin: Updating PIF Form, PA Code Addition Update, BH Redesign 501 Trainings, ODM BH Redesign, Claim Adjustment Reason Codes, Reconsideration Process, NDC Billing Guidelines, DME Modifiers, Prior Authorization Reminder, Partners in Care Newsletter, Americans with Disabilities Act, Online Claim ReconsiderationNovember 2017
Provider Bulletin – Special Edition: Cultural CompetencyOctober 2017
Provider Bulletin: 2017 Open Enrollment, Online Claim Reconsideration, Medicaid Renewal Deadline, Prescription Opioids, Milliman MCG Tool, ODM BH Redesign, New Hospice Rates, Healthchek Reminder, Nursing Facility Communications, New Provider Orientation, HNCC DissolvingOctober 2017
Dental Bulletin – Special Edition: Link to Scion Provider Web Portal with Payer ID NumberSeptember 2017
Dental Bulletin – Special Edition: Link to Scion Provider Web PortalSeptember 2017
Provider Bulletin – Special Edition: Ownership and Control Disclosure Form RequirementSeptember 2017
Provider Bulletin – Special Edition: Molina Healthcare EAPG UpdateSeptember 2017
Provider Bulletin – Special Edition: Orthodontic Continuation of CareSeptember 2017
Provider Bulletin – Special Edition: Grandfathered Medication ListSeptember 2017
Provider Bulletin: Claim Reconsideration Requests, Cleveland Clinic, Waiver Authorizations, All- Cause Readmission, Transportation Claims, Encounter Requirements, Care Management Program, NDC Billing Guidelines, Compound Drugs, New Provider Orientation, New PA Code List, Observation Billing, Clear CoverageTM Update, NOC Billing Guidelines, HealthInHand App, Prior Authorization Form, ACR Guidelines AddedSeptember 2017
Provider Bulletin – Special Edition: Learn new skills and earn CME creditAugust 2017
Provider Bulletin – Special Edition: Mandatory Model of Care TrainingAugust 2017
Provider Bulletin: Prior Authorization Form, NDC Billing Guidelines, ACR Guidelines Added, HNCC Dissolving Program, Claim Reconsideration Form, Behavioral Health Respite Care, EDI Companion Guides, Milliman’s MCG Tool, EAPG Payment Methodology, Transportation Claims, Accident Billing Claims, Clear Coverage Update, Interpreter Services, Pregnancy Check-Up, Evaluation and Management, Diabetes Provider Toolkit, Submitting EDI Claims, BH Redesign, Out Patient BH Redesign CodesAugust 2017
Provider Bulletin: Dental Updates, Insect Repellent Prescriptions, Pregnancy Risk Assessment, BH Redesign, Submitting EDI Claims, Comprehensive Perinatal Care, Provider Manual Update, Hospital Rates Update, Care Plan Coordination, Uniform Authorization Form, EAPG Payment Methodology, Milliman’s MCG Tool, Co-Surgery ServicesJuly 2017
Provider Bulletin – Special Edition: Portal System Back OnlineJune 2017
Provider Bulletin: BH Redesign, Submitting EDI Claims, 30-Day Readmission, Partners in Care Newsletter, Opioid Drug Abuse, Comprehensive Perinatal Care, New PA Code List, Milliman MCG, EAPG Payment Methodology, Claim Adjudication and Payment, Refunds, Provider Appeals, LARC Device Reimbursements, ODA Shared Living, Children with AutismJune 2017
Provider Bulletin – Special Edition: Portal System OutageMay 2017
Quality Provider Bulletin: Healthy Members through HEDIS® and CAHPS®, Prenatal and Postpartum Care, How Well Doctors Communicate, Our Commitment to Support Quality Perinatal Care, Member Motivation - Pregnancy Rewards, Early Identification - PRAF Form, Postpartum Visit Notification, Changes to the Seven-day FUH - Follow Up After Hospitalization, Lab in an Envelope Home Screening Program, Passport to Perks, CAHPS® Survey AdministrationMay 2017
Provider Bulletin: Submitting EDI Claims, Behavioral Health Redesign, Covered & Non-Covered Days, CAHPS® Survey, Encounter Requirements, Basic Billing Training, NOC Billing Requirements, Updated PA Request Form, POS Coding for Scion, Health Care Coding Tips, COB & TPL Billing Guidelines, EAPG Payment Methodology, Americans with Disabilities Act, Cultural & Linguistic Competency, Corrected Claims, No CRRFMay 2017
Provider Bulletin – Special Edition: Place of Service (POS) Coding for ScionApril 2017
Provider Bulletin: CAHPS® and HSAG Survey, CPC Program, Hospice Rates, Child Birth Codes, Behavioral Health Redesign, Submitting EDI Claims, Provider Satisfaction Matters, Newborn Claims Billing, Access Standards, Changing NPI in MITS, New Billing for Hospice & NFApril 2017
Quality Provider Bulletin: CAHPS and HSAG Survey Administration, Rating of Personal Doctor, How Well Doctors Communicate, Getting Needed Care, Health Promotion and Education, Shared Decision MakingMarch 2017
Provider Bulletin: Submitting EDI Claims, Encounter Requirements, Aide Nursing Rate Changes, Home Health CPT Code Retired, Ownership Disclosure, Long Term Support Services, NF Ventilator Program, New Prior Authorization (PA) ListMarch 2017
Provider Bulletin: Update to Medicare PA Processing, Billing Guidelines for FQHCs, Complex Claim Review Process, Clear Coverage, NOC Billing Requirements, Behavioral Health Redesign, Claim Reconsideration UpdateFebruary 2017
2016Month
Provider Bulletin: New Populations Joining Molina, Transportation Changes, Pharmacy Benefit Changes, Dental Benefit Changes, Behavioral Health Redesign, Expedited Appeals, Eff. Feb 1, 2017 – New PA List, Earn $50 for Prenatal Care, Flu Season Tips, Clear CoverageDecember 2016
Provider Bulletin – Special Edition: CPAP Therapy Changes for Durable Medical Equipment (DME) ProvidersDecember 2016
Provider Bulletin – Special Edition: Happy Holidays from Molina, Pharmacy Benefit Changes, Prevention Claim Denial – EPSDT, Updating Your Provider Information, Claim Reconsideration Requests UpdateDecember 2016
Provider Bulletin – Special Edition: Changes to the Dental Benefits are Coming Effective Jan. 1, 2017, Scion Dental Web Portal, Electronic Funds Transfer (EFT)November 2016
Quality Provider Bulletin: Partners in Care Newsletter Online, Healthy Members through HEDIS®, Satisfied Members through CAHPS®November 2016
Provider Bulletin: Inpatient Stays for Behavioral Health, MedXM Providing Health Assessments to Members, New Populations Joining Molina Healthcare, ODM Behavioral Health Redesign, Transportation Changes, Mandatory Cultural Competency TrainingNovember 2016
Provider Bulletin: Claim Reconsideration Requests Update, Transplant and NICU Fax Number Changes, Home Health CPT Code Retired – G0154, Vaccines for Children Billing and Reimbursement Update, Remind Patients About Healthchek and Children in Custody, Adoption Joining Molina HealthcareOctober 2016
Provider Bulletin – Special Edition: Pregnancy Rewards, Earn $50 for Timely Prenatal CareOctober 2016
Provider Bulletin: Outpatient and Inpatient Payment, Pre-Release Pilot for Justice-Involved Members, Panel Limitations Reminder for Primary Care Providers, Earn $50 for Timely Prenatal Care, Prescriptions for Insect Repellent Now Covered, Corrected Claims Submission Tips, Provide Preventive Care During Other Types of CareSeptember 2016
Quality Provider Bulletin: Important Note About Member ID Cards, Earn $50 for Timely Prenatal Care, Healthy Members through HEDIS, Satisfied Members through CAHPS, Access and Availability of CareAugust 2016
Provider Bulletin: Episode-Based Payment Model Reports, Transportation Claim Modifiers, Home Health Claim Modifiers, Evaluation and Management Billing Guidelines, Claims Processing, Member Level of Care Changes, Access StandardsAugust 2016
Provider Bulletin: PCP Assignment and Changes, Billing MMP Enrollees for Medicare Cost-Sharing Prohibited, Corrected Claims or EOBs from the Primary Insurance, ODM Behavioral Health Redesign , Annual Mandatory SNP Model of Care TrainingJuly 2016
Provider Bulletin: Dual Coverage Dental Eligibility, Referring to Network Providers, Nursing Facility Transportation, Behavioral Health Redesign, NDC Requirement, Partners in Care Newsletter, Health Care Coding Tips, Provider Satisfaction SurveyJune 2016
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality ServicesMay 2016
Provider Bulletin: Inpatient/Outpatient PA Requests, Encounter Requirements, Delivery Claims, Recipient of NCQA Award, Revalidation Requirement, Behavioral Health Redesign, Walk-in Retail Clinics, Health Care Coding Tips May 2016
Provider Bulletin – Special Edition: Dental COCApril 2016
Provider Bulletin: Inpatient Authorization Requests, Prior Authorization Update, Hospice Billing Information, Corrected Claims Requirements, Delivery Claims Update, Updating Provider Information, Faster Claim Reconsideration, SBIRT in Primary Care, New ODM Fee Schedule CodesApril 2016
Provider Bulletin - Special Edition: Patient Liability Claims CorrectionMarch 2016
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality ServicesMarch 2016
Provider Bulletin: Waiver Services Authorizations, Patient Liability Errors, POA Requirements, Federal Revalidation Requirement, Reminder About Diabetic Patients, Disability Discrimination Prohibited, Cultural & Linguistic Competency, Supporting CD4AP, Hospice Nursing Services Codes, Reaching a Care ManagerMarch 2016
Provider Bulletin - Special Edition: OB/GYN Progesterone Therapy UpdateFebruary 2016
Provider Bulletin - Special Edition: Skilled Nursing Facilities Submitting Service Dates for Room and BoardFebruary 2016
Provider Bulletin: Billing Members Prohibited, Network Participation Status, Behavioral Health TOC, Independent Provider Overtime, Clear Coverage Training, Updating Provider Information, Changes for Delivery ClaimsFebruary 2016
Provider Bulletin – Special Edition: Online Orientations for New Dental ProgramJanuary 2016
Provider Bulletin: Medicare Part B Cost Sharing, MyCare Ohio Crossover Claims, Prevent Claim Rejection, Psychotropic Drugs for Children, Reaching a Care Manager, Make the Most of Flu Season, Pharmacy PDL Update, Clear Coverage Training, New ODM Sterilization FormJanuary 2016
2015Month
Provider Bulletin: New PA List and Form, Nurse & Aide Rate Changes, Home Health Codes for Medicare, Expanded NDC Requirements, Prevent Claim Denial – EPSDT, Prevent Claim RejectionDecember 2015
Holiday Provider Bulletin: Happy Holidays from Molina, Prevent Claim Denial – EPSDT, Updating Provider Information, Clear Coverage TrainingDecember 2015
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality Services Fall 2015
Provider Bulletin: Prevent Claim Denial – EPSDT, ICD-10 Claims Based on Date, Upcoming PA Code List Update, Fall Partners in Care Newsletter, NDC Requirements Expanding, Assigning Members a PCP, Revalidation Requirement, Clear Coverage Corner, Mandatory SNP Training November 2015
Provider Bulletin – Special Edition: Transition to Secure Transportation October 2015
Provider Bulletin: Prevent EPSDT Claim Denial, Claim Rejection: Spanned Dates, PA Reconsideration vs. Appeal, Progesterone Therapy Fax, Clear Coverage Corner, New Transportation Vendor, Patient Liability Reconciliation, Web Portal Support Desk, Updating Provider Information, Return of Overpayment Form, ICD-10 UpdateOctober 2015
Provider Bulletin: Prevent EPSDT Claim Denial, Immunization Status, Home Health Billing Guidelines, PA Reconsideration vs. App​eal, Clear Coverage Corner, Corrected Claim Requirements, Healthchek, Refer to Participating Providers, Easier-to-Read EOPs, Web Portal Support Desk, Prospective Records Review, ICD-10 Update​ September 2015
Provider Bulletin – Special Edition: Preparing for ICD-10​ August 2015
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services​ Summer 2015
Provider Bulletin: Prevent EPSDT Claim Rejection, Explanation of Payments Update, Leadership Staff Update, Immunization Status, Resources for Skilled Nursing Facilities, Clear Coverage Corner – Training, Reconsideration vs. Appeal, Provider Portal Support Desk, ICD-10 Update​ August 2015
Provider Bulletin – Special Edition: EPSDT Billing Guidelines​ July 2015
Provider Bulletin: EPSDT Billing Guidelines, MinuteClinic Joins Provider Network, Clear Coverage Corner – Training, Immunization Status, Only Commendable Medicaid Health Plan in Ohio, Provider Satisfaction Matters, Provider Portal Support Service Desk, Primary Care Provider Payment, Important Notice to MyCare Ohio Providers, ICD-10 Update​ July 2015
Provider Bulletin: Notice for Providers Serving MyCare Ohio Members, Patients’ Medicaid Renewal Deadline, Text4baby – Free Texts for Moms, Clear Coverage Corner – Enhancements, Patients to Receive Updated ID Cards, Molina Healthcare Achieves NCQA Commendable, Mandatory Waiver Provider Training, Correct Claims Submission, Pre-Authorization Denials, Care Management – How You Can Help, ICD-10 Update​ June 2015
Provider Bulletin – Special Edition: MyCare Ohio Transportation​ May 2015
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services​ Spring 2015
Provider Bulletin: Primary Care Rate Increase Payments, Notice for Providers Serving MyCare Ohio Members, Corrected Claims Submission, Introduction to Care Management, Updated Billing Guidelines Coming Soon, Patients’ Medicaid Renewal Deadline, Clear Coverage Corner – Training, Primary Insurance Information, Claim Reconsideration Requests, Hospice Room and Board Update, ICD-10 Update ​May 2015
Provider Bulletin: Patients’ Medicaid Renewal Deadline, Update to Corrected Claims Process, Clear Coverage – Training Sessions, Access Standards, ICD-10 Implementation Update, Claim Reconsideration Policy Update ​April 2015
Provider Bulletin: Patient’s Medicaid Renewal Deadline, Clear Coverage Corner – Automatic Approval, ICD-10 Implementation Update, Depression in Primary Care, Telemedicine, MyCare Ohio Web Portal Update ​March 2015
Provider Bulletin: Clear Coverage Corner – Accessibility, Service Code Authorization Groups, Upcoming Provider Training Webinars, ICD-10 Implementation Update, Telemedicine, MyCare Ohio Passive Enrollment Split Billing, MyCare Ohio EFT for Waiver Providers, Molina MyCare Ohio Regional Forums​ ​Febraury 2015
Provider Bulletin: Preferred Drug List, Electronic Funds Transfers, Ohio Medicaid APR DRG Requirement, ICD-10 Implementation Update, 2015 MyCare Ohio Transportation, Provider Training Webinars ​January 2015
2014Month
Provider Bulletin: Amended PA Requirements, APR DRG Requirement, ICD-10 Implementation, Emdeon Processing, MyCare Ohio Passive Enrollment, NET Transportation, Partners in Care Newsletter ​December 2014
Provider Bulletin - SNF Special Edition: Patient Liability, Patient/Client Liability Reconciliation Form, Sample ERA​November 2014
Provider Bulletin: Assisted Living Billing, Billing ODMHAS Services, Medicare Passive Enrollment​October 2014
Provider Bulletin - Special Edition: Hospice Room & Board Billing, MyCare Ohio Medicare Passive Enrollment, Molina Dual Options MyCare Ohio Medicare Passive Enrollment FAQs​September 2014
Provider Bulletin: All Patient Refined Diagnosis Groups, 2014 Prospective Medical Record Review & Retroactive Risk Adjustment. ICD-10 Implementation Update, Electronic Funds Transfer, Long-term Services and Supports (LTSS) Claims Submission Training, Upcoming MyCare Ohio Provider Forums​September 2014
Provider Bulletin - Special Edition: Claims Training Events, Transition of Care & Prior Authorization for MyCare Ohio Members​August 2014
Provider Bulletin: Sample Members ID Cards, Coordination of Benefits (COB) For Dual Options Members, Claims Submission, Transition of Care & Prior Authorization​June 2014
Provider Bulletin: MyCare Ohio Connection Medicare + Medicaid, Impacted Service Areas​May 2014



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