We're Glad
you're part of
the Molina Family
“I love working with Molina, their claim department is responsive and efficient”
Alert!
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.
Welcome, Texas Healthcare Providers
Are you looking to become a Molina Provider? Click the link below for more info
If you are interested in becoming a contracted provider for these benefits please click on the below Become a Molina Provider and fill out a Contract Request Form.
Contracted providers are an essential part of delivering 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 not currently a Molina provider, but are interested in contracting with us, please call Molina Texas Provider Services at (855) 322-4080.
Provider Services Portal
Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. Click here for a Web Portal Overview. For more information Contact Provider Services.
Provider Quick Links
Provider Advisory Group
Provider Newsletters
Provider Notices and Reminders
STAR Member Rights and Responsibilities
STAR+PLUS Member Rights and Responsibilities
CHIP Member Rights and Responsibilities
Provider Trainings
Care for Diverse Populations
Provider Complaints
Provider Appeals
Prior Authorizations
Molina Telehealth Policy
Important Web Links
Texas Health and Human Services Commission (HHSC)
Texas Health Steps Provider Information
Texas Medicaid and Healthcare Partnership (TMHP)
STAR+PLUS Nursing Facility Unit Rates
Texas Medicaid /CHIP Vendor Drug Program
To access the Texas Medicaid Formulary and the Preferred Drug List from HHSC’s website:
Texas Medicaid FormularyPreferred Drug List
HHSC NOTIFICATION
LTSS Provider Enrollment: An extension to the deadline for LTSS providers serving managed care (“MCO LTSS providers”) required to enroll through the Medicaid MCO LTSS provider enrollment process has been extended to February 1, 2019. For additional information, click here.
Reminder: Molina is GOING GREEN as of July 1st and all claims need to be submitted through an EDI Clearinghouse or via Molina's Provider Portal. Please contact our Provider Services team if you have any questions
HHSC CHIP Information
HHSC has posted information at https://hhs.texas.gov/services/health/
medicaid-chip/provider-information/chip-perinatal-coverage/chip-perinatal-faqs that MCOs can use to respond to questions from members. Please bookmark this page, as there will be updates in the future.
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ATTENTION! We are looking to recruit physicians into our network! |
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)
ICD10 Implementation Update
Molina Healthcare has fully implemented ICD-10. Have questions? Looking for additional information?Learn more.