Important provider resources and policies

For all your Non-Emergent Medical Transportation (NEMT) needs, please contact Veyo at (800) 424-4524 for CCC Plus members, and (800) 424-4518 for Medallion 4.0 members.

Molina encourages electronic payment of your claims remittance. In order to get your claims payment direct deposited into your bank account, please complete and return this enrollment form, along with all requested documentation within the form. Return the documentation to MCCVA-Provider@MolinaHealthcare.com.

  • Submitting provider rosters and other changes to provider information

    How to submit provider rosters and roster updates

    Please read the following rules and guidelines for submitting rosters and roster updates.

    • All provider rosters submitted for processing must include a complete listing of par providers associated with:
      • Participating group practices of 5 or more providers
      • IPAs
      • Hospitals and hospital systems
      • PHOs, IDNs and other contractual relationships that include multiple providers (practitioners and/or facilities)
    • To comply with CMS and state Medicaid regulatory requirements, providers should submit full roster updates on a quarterly basis (once every 3 months)
    • Interim roster updates/changes can be submitted on a monthly basis and must contain a minimum of 5 affiliated providers.
     

    Updates submitted for fewer than 5 providers will not be accepted. Please see the section titled How to submit provider maintenance tasks for updates to individually contracted providers and groups of fewer than 5

    • All provider rosters and provider roster updates must be submitted using the Excel spreadsheet template below and include all the required data elements.
    • Any roster, roster update or provider data maintenance request that does not contain all required data elements will be returned to the contracted provider entity (submitter) to append the missing information.
    • Completed requests should be saved using the following file naming conventions: [provider name_date].xls
      •  
      • Example file names:
      • Group Practice: ABCPediatrics_01012020
      • Health System, IPA, PHO: BaptistHealthSystem_01012020
      •  
    • Email completed rosters, roster updates and provider data maintenance files/forms to MCCVA-Provider@MolinaHealthcare.com.
    • All provider rosters, roster updates and data maintenance tasks including the required data elements will be processed within 30 calendar days from the date of receipt (via email). Upon completion, an email confirmation will be sent to the address provided on the original request.
     

    How to submit provider maintenance tasks

    Individually contracted providers (solo practitioners/facilities) and group practices with fewer than 5 providers can update their demographic information by submitting a provider maintenance task.

    • Provider maintenance tasks can be submitted each month (as needed) by downloading and completing the following Excel spreadsheet template.
    • Provider data maintenance tasks that do not contain all required data elements will be returned to the contracted provider entity (submitter) to append the missing information.
    • Completed requests should be saved using the following file naming conventions.
      •  
      • Example file names:
      • Individual Provider: JohnSmith_01012020
      • Small Group Practice: ABCPediatrics_01012020
      •  
      • Please note groups must be less than 5 providers
      •  
    • Email provider data maintenance files/forms to MCCVA-Provider@molinahealthcare.com.
    • All provider data maintenance forms will be completed within 30 calendar days from the date of receipt (via email). Upon completion, an email confirmation will be sent to the address provided on the original request.