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.
PsychHub
PsychHub is an online platform for digital mental health education. Molina Providers are able to access PsychHub’s online learning courses through their Learning Hub for FREE. Contact your local Molina Provider Services team to learn more.
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
TMHP Enrollment and Demographic Information Update
To Providers: Please update your enrollment and demographic information with TMHP (Texas Medicaid Healthcare Partnership). TMHP is HHSC's provider enrollment administrator and serves as the authoritative source for HHSC Providers' enrollment and demographic information. Once you update your enrollment and demographic information with TMHP, your data will be reconciled with the demographic information on file with the MCOs. To make updates to your current enrollment (e.g., new practice locations or change of ownership updates), please access the web page titled "Provider Enrollment on the Portal - A Step-by-Step Guide". For instructions on how to make other demographic updates to your current enrollment, please access the document titled "Provider Information Management System (PIMS) User Guide". Otherwise, you can contact TMHP directly at (800) 925-9126 for assistance.
Do you need to add, terminate, or make demographic changes to an existing Provider in your group?
Please notify Molina Healthcare at least 30 days in advance when you:
- Change office location, hours, phone, fax, or email.
- Add or close a location.
- Add or terminate a provider.
- Change in Tax ID and/or NPI.
- Open or close your practice to new
patients (PCPs only).
Complete the Provider Roster Template, which can be found under 'Forms' in the Provider Portal, and submit your changes to MHUPIM@MolinaHealthcare.com.
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! |
ICD10 Implementation Update
Molina Healthcare has fully implemented ICD-10. Have questions? Looking for additional information?Learn more.
