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Recent Updates

 
New Prior Authorization (PA) Code Lists is effective Jan 1, 2019. View them here: Medicaid/MMP Medicaid Only/Marketplace | Medicare/MMP Duals
Effective Feb. 1, providers will be required to submit specific laboratory specimens to in-network clinical laboratories. To learn more, click here.
Attention Behavioral Health (BH) Providers: The BH Redesign is effective Jan. 1, 2018 and the Carve-In to Medicaid Managed Care ​is effective July 1, 2018. 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 form BH Provider Form and send to MHOProviderUpdates@MolinaHealthcare.com.

Provider Data Validation

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. ​​

Molina is offering monthly training sessions!
 
Provider Portal Training:
·    Wed., Nov. 21, 2 to 3 p.m. meeting number 807 808 195
·    Thurs., Dec. 27, 2 to 3 p.m. meeting number 809 515 791
 
Claim Submission Training:
·    Tues., Nov. 27, 1 to 2 p.m. meeting number 807 743 754
·    Thurs., Dec. 20, 2 to 3 p.m. meeting number 807 232 227
 
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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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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