Welcome, Molina Dual Options Healthy Connections Prime Providers!
Become a Molina Dual Options 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 Dual Options provider, please call Provider Services at (855) 237-6178.
NEW Interactive Provider Look Up Tool COMING SOON
Provider Services Portal
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.
Medicare Compliance Program
The Molina Compliance Hotline:
Ph: (866) 606-3889
To report an issue online visit: https://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
Medicare Compliance Training
Model of Care Training Materials
Please click here for the Model of Care Training Materials.
Opioid Treatment Program Information
Please click here for more information on the Opioid Treatment Program.
As of 1/1/2020, Molina has moved to a 30-day readmission policy.
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.
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 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)