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We're Glad

you're part of
the Molina Family

“I love working with Molina, their claim department is responsive and efficient”

Dr. Marina Jones

 

Alert!

The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.

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.

Become a Molina Provider

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.

2020 Provider Directory

 
Check Member Eligibility & Benefits button

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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.

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.

Providers:The Provider Information Management System (PIMS) is used to manage and maintain provider accounts. For additional guidance, please click here to review the PIMS User Guide.

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.

Doctor

ATTENTION!
Hidalgo and El Paso Providers

We are looking to recruit physicians into our network!

Click here for details

Providers: The Long-Acting Reversible Contraceptive (LARC) Provider Resource Toolkit is available here

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.