Molina Provider Updates/Events

Current 2023 Updates/Events

icon PDF Availity Essentials – New Appeals Functionality

icon PDF 2023 Primary Care Provider Pay-For-Quality Bonus Program Overview

icon PDF 2023 Primary Care Provider Pay-For-Quality Program Announcement Letter

icon PDF Value Added Services - Effective September 1, 2023

icon PDF CAHPS Provider Tips - Improving Patient Satisfaction

icon PDF Molina Legacy Provider Portal Sunsetting June 22 – 30 Day Notice

icon PDF Molina Healthcare's Legacy Provider Portal Sunsetting June 22, 2023

icon PDF Spell of Illness Extension for COVID-19 Related Inpatient Hospital Claims Ending with End of PHE

icon PDF  Multiple COVID-19 Flexibilities for Services Ending May 11, 2023

icon PDF Texas Health Steps Flexibilities for Telemedicine (Audio-visual) and Telephone (Audio-only) Delivery Training Ending May 11, 2023

icon PDF HHSC Policy Flexibility for Member State Fair Hearings ends on May 11, 2023

icon PDF Co-pays for some CHIP services will resume starting- May 12, 2023

icon PDF Update to Ambulance Transportation Services Prior Authorization and Billing Requirements - Effective April 17, 2023

icon PDF Behavioral Health Appointment Availability

icon PDF  Explanation of Payment Refund Reporting on EOPs and 835 Files

icon PDF  ProviderNet Sunset Notice - Effective January 1, 2023

icon PDF  Notice of Change in Process - Incorrect Paper Claims Address

icon PDF Value Added Services Reference Grid - Effective September 1, 2022

icon PDF Case Management for Children and Pregnant Women Frequently Asked Questions

icon PDF Case Management for Children and Pregnant Women Prior Authorization Resources

icon PDF LTSS Billing Matrix Updates - Effective December 1, 2022

icon PDF ProviderNet Outage

icon PDF  American Rescue Plan Act (ARPA) Program Announcement

icon PDF  Impact to Explanation of Payments - DRG Value

icon PDF  New Medicaid Benefit - Applied Behavior Analysis (ABA) Frequently Asked Questions – Effective February 1, 2022

icon PDF  Molina Blank Check Issue Provider Notice

icon PDF  Cigna-Molina Transition - Respite Authorization Update

icon PDF  Potential Delay in Member ID Card Distribution

icon PDF  Cigna-Molina Transition Provider Notice and FAQ

icon PDF  Pre-Payment Correct Coding & Reimbursement Provider Overview

icon PDF  Preferred Diabetic Supplies List

icon PDF  Helpful Acronyms

icon PDF  After Hours Weekend Care Policy

icon PDF  Value Added Services Reference Grid - Effective 9/1/2021

icon PDF  EVV Recoupment Policy Notice - April 2021

icon PDF  Certified Nurse Midwives May Be Reimbursed for Procedure Codes 99385 and 99386 Effective May 1, 2021

icon PDF  Appointment Availability and After Hours Requirements

Maternal Opioid Misuse (MOM) Model

Healthy Texas Women Provider Resources

Healthy Texas Women

Healthy Texas Women Plus Services - Effective 9/1/2020

icon PDF  Molina Healthcare of Texas ("Molina") Irving Office Notification of Address Change - Effective June 1, 2021

icon PDF  Available Resources to Provide PPE for the Consumer Directed Services (CDS) Option

icon PDF  Provider Memo: New Sepsis Guidelines - Effective January 1, 2021

icon PDF Molina Medicare Changes Affecting J Code Prior Authorization

icon PDF  EVV Recoupment Policy Notice - December 2020

icon PDF  Primary Care Provider Notice - Incontinence Vendor Change – Effective 5/1/2020

icon PDF  DME Provider Notice – Incontinence Vendor Change – Effective 5/1/2020

icon PDF  HHSC RFP Contract Announcement March 2020

icon PDF  COVID-19 Prior Authorization Extensions Notice

icon PDF  COVID-19 Provider Notice – March 11, 2020

icon PDF  COVID-19 Provider Update – March 6, 2020

icon PDF  VA/DoD Psychological Health Clinical Support Tools Available

icon PDF  Evaluation and Management (E/M) Coding and Claim Review Update – July 2020

icon PDF  Molina Allowed In-Office Lab Test List, Effective 1.1.19