Molina Provider Updates/Events

Current 2022 Updates/Events

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

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

icon PDF  Opioid Treatment Providers May Now Submit Texas Medicaid Enrollment Applications

icon PDF   Updates to STAR+PLUS LTSS Billing Matrix and Authorization

icon PDF   LTSS Billing Matrix and Authorization Updates - Provider Notification

icon PDF  New Prior Authorization Requirements for Non-PAR MMP Providers

icon PDF  Span of Coverage Policy Clarification

icon PDF  Claims Management for Missing or Incorrect Member Information - Effective December 7, 2018

icon PDF  LTSS Provider Enrollment Announcement

icon PDF  Imaging Downgrade Notice

icon PDF  Provider Claims Reconsiderations and Appeals - Electronic Submissions

icon PDF  CMS Two Midnight Rule - Inpatient Stay Reimbursement

icon PDF  Ordering Referring Prescribing Requirement Implementation - Delayed until January 2018

icon PDF  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):
  • Intermediate Care Facilities for Individuals with an Intellectual Disability or Related Conditions (ICF/IID)
Addressed to :
  • Home and Community-Based Services (HCS) Providers
  • Texas Home Living (TxHmL) Providers
The file(s) below are in PDF format ( icon PDF )

icon PDF  HIPAA 5010 Attending Provider Billing Requirements

icon PDF  HHSC Letter to Providers about ACA PCP Rate Increase 

icon PDF  Early Childhood Intervention Services (ECI) & Non-ECI Behavioral Health Services FAQs

icon PDF Pediatric Speech, Physical and Occupational therapy update Effective January 1, 2014

icon PDF  Attention Anesthesiology and CRNA Providers Effective November 1, 2014 

icon PDF  CHIP Perinatal Providers Notice-Urgent Request *New

icon PDF  Molina Post Implementation ICD-10 FAQ

icon PDF  Web Portal Administrator Form

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.