Provider Notices
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Provider Relations Newsletter
Provider Relations Post - November 2024
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- Private Duty Nursing Authorization Updates
- Termination of Federal Rebate Agreements Effective: October 1, 2025 (Medicaid)
- Q3 2025 Provider Newsletter Available Online
- Drug Formulary Benefit and Policy Changes Effective: October 1, 2025 (Medicaid)
- Updates to Prior Authorization Forms – Behavioral Health
- Clinical Practice and Preventive Health Guidelines Update: June 30, 2025
- Important Update: Reporting Requirements for Behavioral Health Agencies
- Update to Vision Services Billing - Revised
- Q2 2025 Provider Newsletter Available Online
- Prior auth (PA) application sunsetting in Availity Payer Spaces
- Changes to Administrative Day Reimbursement
- Drug Formulary Benefit Changes Effective: April 2025 and Drug Formulary Benefit Changes Effective: July 1, 2025 (Medicaid)
- Changes regarding High Dollar Claims and Itemized Bill Review
- Drug Policies Effective July 1, 2025 (Medicaid)
- Drug Formulary Benefit Changes Zituvio, Zituvimet Effective: April 26, 2025 (Medicaid)
- Drug Formulary Benefit Changes Effective: April 26, 2025 (Medicaid)
- Update on Enhanced Rate for Medication for Opioid Use Disorder (MOUD) (July)
- Prior Authorization Change Effective July 1, 2025
- Drug Policies Effective June 1, 2025 (Medicaid)
- Legacy Prior Authorization and Portal Sunsetting in Availity
- EPSDT Updates and Screening Modifier
- Required Modifiers and Revenue Codes for Physical, Occupational, and Speech therapy
- Virtual: Model of Care Provider Training
- Save the Date: Autism Centers of Excellence - One Day Training
- Drug Formulary Benefit Changes Effective: April 1, 2025 (Medicaid)
- Q1 2025 Provider Newsletter Available Online
- Correction: Changes to Prior Authorization Requirements Effective May 1, 2025
- Prior Authorization Change Effective April 1, 2025
- Apple Health Preferred Drug List Changes Effective April 1, 2025 (Medicaid)
- Clinical Practice and Preventive Health Guidelines Update: February 3, 2025
- New Drug Policies Effective: March 1, 2025 (Medicaid)
- Eliminating Hepatitis C - Member Incentive Program
- Unblocking of Molina UM Fax numbers
- Drug Formulary Benefit Changes Effective: January 1, 2025 (Medicaid)
- New Drug Policies Effective: February 1, 2025 (Medicaid)
- DME Provider Communication Rate Code Update Effective: March 1, 2025
- Updated Payment Methodology for Critical Access Hospitals (CAH)
- New Outpatient Facility Edit: January 4, 2025
- Change to Inpatient Notification System Process: Dec. 20, 2024
- 2024
- Over the Counter (OTC) Contraceptives (Medicaid)
- Q4 2024 Provider Newsletter Available Online
- Drug Formulary Change Effective: January 1, 2025 (Medicaid)
- Clinical Practice and Preventive Health Guidelines Update: November 18, 2024
- Pertussis Increase in WA Notice: November 18, 2024
- Changes to Prior Authorization Requirements Effective January 1, 2025 - Behavioral Health/Substance Use Disorder
- Prior Authorization Change Effective January 1, 2025
- Billing for Provider Administered Drugs - October 14, 2024
- Molina Healthcare of Washington, Inc. to Discontinue Medicare Advantage Prescription Drug (MAPD) Plans
- Notification of Inpatient Clinical Validation Review
- Apple Health Program – Apple Health Expansion for Adults
- Q3 2024 Provider Newsletter Available Online
- Molina Healthcare has launched our new Claim Reconsideration function in the Availity Portal!
- ReferWell Program - September 16, 2024
- Preventive Health Guidelines Update: September 13, 2024
- Depression Screening HCA Billing Update - effective July 1, 2024
- Off-Label Use of GLP-1 Receptor Agents
- POLT Policy Delay
- Molina Healthcare 2024 Provider Satisfaction Survey
- Antidepressant Medication Management (AMM) Provider Newsletter: August 30, 2024
- Preventive Health Guidelines Update: August 26, 2024
- New Drug Policies Effective October 1, 2024 (Medicaid)
- Prior Authorization Change Effective October 1, 2024 - Genetic Testing
- Preventive Health Guidelines Update: August 6, 2024
- Chelan County Horselake Wildfire—Disaster Response
- Evolent, formerly New Century Health- Oncology/Cardiology
- Home Health Revenue/procedure code update (Medicaid)
- Prior Authorization Changes Effective October 1, 2024
- New Expedited Authorization Code (Molina Medicaid)
- 2024 Molina Member Rewards Program - Now Live!: July 10, 2024 (Medicaid)
- Drug Formulary Change: Effective: August 1, 2024 (Medicaid)
- Q2 2024 Provider Newsletter Available Online
- Updated Drug Policy Effective August 1, 2024 (Medicaid)
- Physician Office Laboratory Testing Update
- Preventive Health Guidelines Update: June 12, 2024
- Non-Contracted Drugs Effective July 1, 2024 (Medicaid: Integrated Managed Care (IMC) and Apple Health Expansion (AHE))
- Pharmacy Update - Apple Health Expansion (AHE)
- Provider Bulletin/Molina Healthcare Provider/Staff Survey
- Molina Healthcare Lunch and Learn: Apple Health Expansion (AHE)
- Midwifery Care Experience Survey
- EPSDT Screening Modifier Update
- Webinar Opportunity: Cultural Humility & Cultural Competency - June 20 and June 27
- Prior Authorization Reminder Effective April 1, 2024
- Prior Authorization Reminder Effective January 1, 2018
- Drug Formulary Change Effective July 1st, 2024 (Medicaid)
- Prior Authorization Change Effective July 10, 2024
- Prior Authorization Change Effective July 1, 2024
- ABA Provider Enrollment
- Updated Drug Policy Effective June 1, 2024 (Medicaid)
- Preventive Health Guidelines Update: April 12, 2024
- Soft Drug Utilization Review (DUR) Edits (Medicaid) Effective April 8, 2024
- Webinar Opportunity: Cultural Humility & Collectivism vs Individualism - April 18 and June 13
- Provider Bulletin: Optum-Change Healthcare Outage Update April 5, 2024
- Prior Authorization Change Effective June 1, 2024
- Incorrect Rate Loaded: Home Birth Supply Kits
- Q1 2024 Provider Newsletter Available Online
- Provider Bulletin: Optum-Change Healthcare Outage Update March 18, 2024
- Adolescent Health Mini Needs Assessment
- Tribal Authorization Process
- Provider Bulletin: Optum-Change Healthcare Outage Update March 8, 2024
- Drug Formulary Change Effective April 1, 2024 (Medicaid)
- Provider Bulletin: Optum-Change Healthcare Outage Update February 29, 2024
- Provider Bulletin: Optum-Change Healthcare Outage
- Health Advisory: Unintentional Overdose Deaths Associated with Methadone and Other Opioids (Medicaid)
- BeMe: A digital solution focused on enhancing mental health and well-being for teens
- Prior Authorization Change Effective April 15, 2024 - CPT 96125
- Updated Drug Policy Effective March 1, 2024 (Medicaid)
- How to Correct a claim in Availity
- Clinical Practice Guidelines Update: January 11, 2024
- Provider Online Directory
- CMS Final Rule for CY24 - Behavioral Health Changes Effective January 1, 2024
- Syphilis Screening
- Live Availity Essential Trainings: January and February 2024
- Advanced Imaging ePortal Submissions
- Updated Drug Policy Effective February 1, 2024 (Medicaid)
- 2023
- Q4 2023 Provider Newsletter Available Online
- Lead Screening Reminder for Pediatric Patients
- In-Network Clinical Laboratory Reminder
- 2024 Q1 Greater Columbia Provider Forum: January 9, 2024
- Save the Date! Greater Columbia Provider Forum
- Council for Affordable Quality Healthcare Exclusive Credentialing Vendor Effective January 1, 2024
- Drug Formulary Change Effective: January 1st, 2024 (Medicaid)
- Secure Messaging from Claim Status Screen Enabled in Availity Essentials Portal
- Submit and Track your Appeals on Availity Essentials
- Explanation of Payment Refund and Forwarding Balance Reporting Enhancement
- Your Feedback is Important! Molina Healthcare 2023 Provider Satisfaction Survey
- Updated Drug Policy Effective December 1, 2023
- Preventive Health Guidelines (PHGs) Update: November 6, 2023
- Synagis® 2023-2024 Policy Update Effective November 2, 2023
- Updates to HCA's Telemedicine Billing Codes: Effective October 1, 2023
- Synagis® 2023-2024 Prior Authorization Form Available Now Effective October 15, 2023
- Prior Authorization Change Effective December 1, 2023
- Preventive Health Guidelines (PHGs) Update: October 2, 2023
- Joint MCO Live Training Sessions for Apple Health Medicaid Providers
- Provider Tips to Increase Flu Vaccinations CY23-24: October, 2023
- Live Availity Essentials Trainings: October, November and December 2023
- Health Care Authority's Clinical Data Repository
- Prior Authorization Change Effective December 1, 2023
- Effective Immediately: Molina's Provider Online Directory to Display Maximum of Five Service Locations Per Provider
- Live Availity Essentials Trainings: September and October 2023
- Lynx Healthcare Pain Management Clinic Closed: Effective September 8, 2023
- Flu Vaccine Incentive CY23-24: September 1, 2023 - February 29, 2024
- Molina 2023 Q3 Spokane Provider Workshop & Luncheon: October 10, 2023
- Drug Formulary Change Effective: October 1, 2023 (Medicaid)
- Drug Formulary PDL Changes Effective: October 1, 2023 (Medicaid)
- Washington Administrative Code Reminder
- Washington State Autism Center of Excellence Certificate Training: September 29, 2023
- Q3 2023 Provider Newsletter Available Online
- Updated Medicaid PO Box for Provider Claim Disputes and Appeals
- Wildfires-Molina's Disaster Response
- Preventive Health Guidelines (PHGs) Update: August 4, 2023
- Help Your Molina Medicaid Members Restore Their Coverage
- August and September Live Availity Trainings
- Availity Essentials Core Features
- Home Health National Provider Identifier (NPI) Registration Requirement Updates
- Member Well-Care Visit (Ages 6-17) Back to School Promotion: July 1 - October 31, 2023
- Prior Authorization Change Effective October 1, 2023
- Explanation of Payment Refund and Forwarding Balance Reporting Enhancement
- New – 90-Day Medication Refills Policy: July 2023
- Preventive Health Guidelines (PHGs) Update: July 13, 2023
- Unleash the Power of Oral Health with Mouth Matters and Acora Foundation
- July and August 2023: Live Availity Essentials Trainings
- Updated Drug Policy Effective July 1, 2023
- Molina's Peer-to-Peer Request Timeframe Updated: Effective July 1, 2023
- Live Availity Trainings: June and July 2023
- Preventive Health Guidelines: Updated April 2023
- Skilled Nursing Facility: Exceptional Care Needs Program Effective May 30, 2023
- Molina 2023 Q2 SW WA Provider Workshop & Luncheon: June 20, 2023
- Availity Essentials is Molina Healthcare's Exclusive Provider Portal Effective June 22, 2023
- Skilled Nursing Facility (SNF) Admissions Effective May 1, 2023
- Pharmacy Recredentialing Notice (Medicaid)
- Prior Authorization Change Effective July 1, 2023
- Live Availity Trainings: May and June 2023
- Admit Discharge Notifications and Certificates of Acknowledgements
- Payment of Oral Food Thickeners Billed under HCPCS Code B4100
- Update: EPSDT Well-Child Periodicity for Middle Child and Adolescence
- Member Renewal Date in Availity
- New Century Health Updated eFax Numbers
- Availity Essentials Migration Schedule Change/Update
- Q2 2023 Provider Newsletter Available Online
- Live Availity Overpayment and General Trainings: March and April 2023
- Home Health National Provider Identifier (NPI) Registration Requirements Update
- Virtual Intensive Engagement Wraparound (VIEW) Webinar
- Q1 2023 Provider Newsletter Available Online
- Updated Drug Policy Effective April 1, 2023 (Medicaid)
- Prior Authorization Change Effective February 1, 2023
- Explanation of Payment Refund Reporting Enhancement in ECHO
- Clinical Practice Guidelines and Preventive Health Guidelines Update: February 23, 2023
- Drug Formulary Change Effective: April 1, 2023 (Medicaid)
- Updated Drug Policy Effective: April 1, 2023 (Medicaid)
- Submit ICD-10 Values for ADHD Drug Classes (Medicaid)
- Behavioral Health Integration Grant Webinar on February 27, 2023
- Upcoming Drug Policy Changes Effective: March 1, 2023 (Medicaid)
- Opioid MME Edit Update (Medicaid)
- Avalon Laboratory Management Program Go-Live Delayed-Medicaid
- Live Availity Trainings: February and March 2023
- Clinical Practice and Preventive Health Guidelines Update
- Prior Authorization Change Effective April 1, 2023
- New Drug Policy Effective February 1, 2023 (Medicaid)
- Provider End of Medicaid Extension Resources
- Prior Authorization Notification HCPCS A4927
- Online Provider Directory
- Molina to Partner with Healthmap Solutions, Inc for Medicaid Effective 2/1/2023
- Coming Soon! New Availity Essential Portal Functionalities
- Clinical Trial Process Changes Effective October 1, 2022
- Clinical Trial Process Changes: Washington Health Care Authority Clinical Trials FAQs
- Drug Formulary Change Effective: January 1, 2023 (Medicaid)
- Drug Formulary Additional Changes Effective: January 1, 2023 (Medicaid)
- Update Jail Release and Needed Medical Services