Provider Materials
Welcome to Molina Healthcare of Virginia; we are glad you made the decision to become a part of our network! Check back as more resources, updates, and toolkits will be added throughout the year. Please contact us should you have any questions:
- Commonwealth Coordinated Care Plus (CCC Plus): (800) 424-4524
- Medallion 4.0: (800) 424-4518
- Provider Manual -- updated September 2023
- Provider Toolkits
We have developed these provider toolkits to serve as a central repository for information on clinical guidance, available tools and resources, trainings and more.
Early and Periodic Screening, Diagnostic and Treatment (EPSDT) Toolkit
Pregnant and Parenting Women with Opioid Use Disorder (OUD)
- Mother-Baby Connections
- Provider Clinical Guidance
- Medication Assisted Treatment/OUD Treatment Providers
- Circumcisions, when medically necessary (prior authorization required)
- Office-Based Opioid Treatment Certification
- Resources for Providers
- Materials for Pregnant and Parenting Women
Neonatal Abstinence Syndrome/Neonatal Opioid Withdrawal Syndrome
- Provider Guidance
- Eat, Sleep, Console Toolkit
- Clinical Guidance
- Professional Online Trainings and Videos
- Resources and Services
- Provider Trainings
Your Provider Network Management team will present a series of virtual Provider Orientation sessions on the 3rd Wednesday of each month through the end of 2023.
During this Provider Orientation, we will provide you with an overview of our plan, network, and frequently asked questions including but not limited to:
- Provider Orientation
- Provider Website overview: Provider Communications, Provider Newsletters, Provider Forms, Provider Credentialing
- Prior Authorizations and the online Tool demo
- Availity Essentials Portal: Dates for Availity Essentials Portal Trainings. The trainings will give you the ability to check member eligibility, coverage, and claim status, submit, view authorizations and more.
New Webinars for 2023
Click the link next to the session below to register.Date Time Register Wed. March 15, 2023 10 a.m., EST Click to register Wed. April 19, 2023 10 a.m., EST Click to register Wed. May 17, 2023 10 a.m., EST Cancelled Wed. June 21, 2023 10 a.m., EST Cancelled Wed. July 19, 2023 10 a.m., EST Cancelled Wed. August 16, 2023 10 a.m., EST Link coming soon Wed. September 20, 2023 10 a.m., EST Link coming soon Wed. October 18, 2023 10 a.m., EST Link coming soon Wed. November 15, 2023 10 a.m., EST Link coming soon Wed. December 20, 2023 10 a.m., EST Link coming soon - August & September Availity Provider Training Dates -- posted August 2023
- July & August Availity Provider Training Dates -- posted July 2023
- June & July Availity Provider Training Dates -- posted June 2023
- ProgenyHealth Provider Overview -- posted March 2023
- May Availity Provider Training Dates -- posted April 2023
- April Availity Provider Training Dates -- posted March 2023
- Checking Appeal Status in Availity Payer Spaces -- posted February 2023
- Availity Trainings Provider Flyer -- updated February 2023
- Behavioral Health Provider Orientation -- posted February 2023
- Behavioral Health Overview -- posted September 2022
- July 1, 2022 Medicaid Provider Updates -- updated July 1, 2022
- Availity Provider Portal Training — posted March 2021
- Provider Guides
- Appointment Access and Availability Quick Reference Guide -- posted July 2023
- CPT Category II Codes Chart -- posted June 2023
- MCG Cite AutoAuth Provider Access Guide -- Updated July 2023
- Provider Quick Reference Guide -- updated February 2023
- July 2022 System Migration Provider FAQ -- updated September 2022
- Provider Transportation FAQ
- Electronic Visit Verification Implementation flyer
- HEDIS Telehealth Accepted Codes Reference Guide
- Quality Performance Guide 2020 – Your guide to HEDIS®, CAHPS®, and Coding Accuracy
- Application of Fluoride Varnish Tip Sheet
- Provider Emergency Resources Flyer
- Female Specific HEDIS Coding Measures Guidelines