For Molina Members About Molina
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Welcome, Molina Dual Options Healthy Connections Prime Providers!

Become a Molina Provider

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 provider, please call Provider Services at (855) 237-6178.​

NEW Online Authorization Lookup

NEW Online Authorization Lookup

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

Provider Services Portal

Check Member Eligibility & Benefits button

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Molina’s 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 Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.​

Model of Care Training Materials

Please click here ​for the Model of Care Training Materials.​​​​

Claims Payment Update

Molina has moved to a weekly check run every Friday. Molina will still adhere to our agreement of paying claims within 30 days.​

ACR Information

Effective 9/1/2017, Molina has incorporated American College of Radiology (ACR) guidelines into Molina's criteria of clinical decision support for advanced imaging. For more information contact Provider Services at (855) 237-6178 or email at click here.

ICD10 Implementation Update

Molina Healthcare has fully implemented ICD-10. Have questions? Looking for additional information? Learn more.​

Going Green

Reminder: Molina has gone green effective 7/1/2017, and all claims need to be submitted through an EDI Clearinghouse or via Molina's Provider Portal. Please contact our Provider Services team if you have any questions.​​

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)

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