“I love working with Molina, their claim department is responsive and efficient”
Dr. Marina Jones
Contracted providers are an essential part of delivery quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.
If you have any questions or if you are interested in becoming a Molina Dual Options provider, please call Provider Services at (855) 237-6178.
Easy to use online authorization lookup now available!
We’re making it easier than ever to look up which outpatient codes require authorization with our new online authorization lookup feature. Just type in your CPT code and our system will instantly let you know if authorization is required for this outpatient procedure. Remember, all inpatient series must be authorized so this new feature is not applicable for inpatient service codes.
Lookup CPT Code
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Molina Dual Options Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Dual Options is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.
The Molina Compliance Hotline:Ph: (866) 606-3889
To report an issue online visit: https://MolinaHealthcare.AlertLine.com
Please click here for the Model of Care Training Materials.
Prior Authorization Lookup Tool
Prior Authorization Code Matrix
Prior Authorization Guide
Prior Authorization Request Form
As of 1/1/2020, Molina has moved to a 30-day readmission policy.
ICD10 Implementation Update
Molina Healthcare has fully implemented ICD-10. Have questions? Looking for additional information? Learn more.
Reminder: Molina Dual Options has gone green and all claims need to be submitted through an EDI Clearinghouse or via Molina Dual Options Provider Portal. Please contact our Provider Services team if you have any questions
Please notify Molina Dual Options at least 30 days in advance when you have any of the following: