Welcome Texas Medicare-Medicaid Plan Healthcare Providers
In Texas, our Medicare-Medicaid MMP Plan is Molina Dual Options STAR+PLUS MMP and Molina Medicare-Medicaid STAR+PLUS Plan. This program will benefit our members by providing the convenience of coordinated care with one primary care provider and one ID card.
Contracted providers are an essential part of delivering quality care to our members. We at Molina Healthcare value our provider partnerships and support the doctor-patient relationship our members share with you.
Superior customer service and provider relations are one of our highest priorities. We welcome your feedback and look forward to assisting all your efforts to provide quality care.
If you have questions or concerns, please contact Provider Services at (855) 322-4080.
Need a Prior Authorization?
PA Lookup tool is under maintenance.
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
Resources for Providers
The Molina Healthcare Provider Manual includes valuable information about our policies and procedures, and describes how we will work together as you care for your patients.
The Provider Directory allows you to search for network providers, hospitals and pharmacies based on proximity to your location.
Looking for the prior authorization guide, the corrected claims form or another form? View and download our Frequently Used Forms.
If you have questions or concerns, please contact Provider Services at (855) 322-4080.
Register for a Provider Webinar
Molina Healthcare is hosting provider trainings online through our webinar series. Our webinars are free and open to all network providers and their medical and office staff. Registration is quick and easy. Click here to view our upcoming webinars and sign up today.
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
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)