Recent Updates
As of April 1, Molina began a collaboration with New Century Health, a cardiology quality management company, to conduct medically necessity review on certain codes requiring PA. Learn more here.
The Combined Provider Manual effective as of Jan. 1, 2022 is posted here. The January 2022 Combined Provider Manual Significant Updates are available here.
Based on guidance from the Ohio Department of Medicaid (ODM), Molina began denying claims submitted by non-enrolled or inactive providers on Aug. 15, 2021. Learn more here and here.
View the Molina COVID-19 (Coronavirus) resource page with codes, telemedicine information and support materials here. For additional information visit the CDC website here, or the Ohio Department of Health website here.
The current PA Code List became effective April 1, 2022. View it here.
Medication Assisted Treatment
Addiction
Basics
Safety
Molina Peer Support Program
Addiction
For more information call (855) 665-4623, TTY/TDD: 711, Monday - Friday from 8:00 a.m. - 8:00 p.m. local time and ask for our Care Management department.
Medicare Compliance Program
Molina Compliance Hotline: (866) 606-3889 or Molinahealthcare.AlertLine.com
Reporting Compliance and Fraud, Waste, or Abuse
Molina Medicare Compliance Program
Code of Business Conduct and Ethics
Medicare Compliance Issues Policy
Document Retention and Destruction Policy
Medicare Fraud, Waste, and Abuse Plan
FDR Compliance Auditing Policy
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.
Molina Healthcare of Ohio's "It Matters to Molina" program prioritizes connecting directly with our network of over 90,000 providers and supporting their efforts to deliver high-quality and efficient health care for Molina members.
Through the “It Matters to Molina” program, we have a dedicated Provider Services Team to intake and resolve your questions or issues and solicit input and feedback from you, our network providers and administrative staff, about ways Molina can improve our technology, tools and processes to minimize administrative hurdles and better support you.