Molina Provider Updates/Events
Current 2022 Updates/Events
American Rescue Plan Act (ARPA) Program Announcement
Impact to Explanation of Payments - DRG Value
Molina Blank Check Issue Provider Notice
Cigna-Molina Transition - Respite Authorization Update
Potential Delay in Member ID Card Distribution
Cigna-Molina Transition Provider Notice and FAQ
Pre-Payment Correct Coding & Reimbursement Provider Overview
Preferred Diabetic Supplies List
After Hours Weekend Care Policy
Value Added Services Reference Grid - Effective 9/1/2021
EVV Recoupment Policy Notice - April 2021
Certified Nurse Midwives May Be Reimbursed for Procedure Codes 99385 and 99386 Effective May 1, 2021
Appointment Availability and After Hours Requirements
Maternal Opioid Misuse (MOM) Model
Healthy Texas Women Provider Resources
Healthy Texas Women Plus Services - Effective 9/1/2020
+Previous Updates/Events
Available Resources to Provide PPE for the Consumer Directed Services (CDS) Option
Provider Memo: New Sepsis Guidelines - Effective January 1, 2021
Molina Medicare Changes Affecting J Code Prior Authorization
EVV Recoupment Policy Notice - December 2020
Primary Care Provider Notice - Incontinence Vendor Change – Effective 5/1/2020
DME Provider Notice – Incontinence Vendor Change – Effective 5/1/2020
HHSC RFP Contract Announcement March 2020
COVID-19 Prior Authorization Extensions Notice
COVID-19 Provider Notice – March 11, 2020
COVID-19 Provider Update – March 6, 2020
VA/DoD Psychological Health Clinical Support Tools Available
Evaluation and Management (E/M) Coding and Claim Review Update – July 2020
Molina Allowed In-Office Lab Test List, Effective 1.1.19
Opioid Treatment Providers May Now Submit Texas Medicaid Enrollment Applications
Updates to STAR+PLUS LTSS Billing Matrix and Authorization
LTSS Billing Matrix and Authorization Updates - Provider Notification
New Prior Authorization Requirements for Non-PAR MMP Providers
Span of Coverage Policy Clarification
Claims Management for Missing or Incorrect Member Information - Effective December 7, 2018
LTSS Provider Enrollment Announcement
Provider Claims Reconsiderations and Appeals - Electronic Submissions
CMS Two Midnight Rule - Inpatient Stay Reimbursement
Ordering Referring Prescribing Requirement Implementation - Delayed until January 2018
Therapy Policy Changes - Effective September 1 Power Point
Physical, Occupational and Speech Therapy Benefit Changes - Effective September 2017
DADS has issued the following Information Letter(s):
Information Letter No. 2015-49 – Reimbursement Rates Effective September 1, 2015 – ACTION REQUIRED
Addressed to :
- Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
- Home and Community-Based Services (HCS) Providers
- Texas Home Living (TxHmL) Providers
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HIPAA 5010 Attending Provider Billing Requirements
HHSC Letter to Providers about ACA PCP Rate Increase
Early Childhood Intervention Services (ECI) & Non-ECI Behavioral Health Services FAQs
Pediatric Speech, Physical and Occupational therapy update Effective January 1, 2014
Attention Anesthesiology and CRNA Providers Effective November 1, 2014
CHIP Perinatal Providers Notice-Urgent Request *New
Molina Post Implementation ICD-10 FAQ
Molina Dual Options-STAR+PLUS Medicare-Medicaid Plan Update:
To learn more about the STAR+PLUS Medicare-Medicaid Plan, click here for the Texas Health and Human Services Commission (HHSC) website.