Need a Prior Authorization?
PA Lookup tool is under maintenance.
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
Welcome, Washington Healthcare Providers
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, call Provider Services at (855) 322-4082.
For the latest trainings and resources on integrated care and other best practices please click here.
Join Our Network
At Molina Healthcare, we consider ourselves a part of our member’s extended family. To our extended family, we are committed to providing high quality health care by having a robust network of physicians, hospitals, healthcare facilities, and other healthcare providers.To join our network
Before you contact Molina, you must have NPIs registered with the Health Care Authority (HCA).http://www.hca.wa.gov/billers-providers/apple-health-medicaid-providers/enroll-provider Please note, all required NPI numbers on a claim form must be registered with the HCA. If you have questions regarding this state requirement, please contact the HCA at 1-800-562-3022 ext. 16137.
Add a new provider to an existing group by completing an Add Provider/Mini Application form and return to MHWProviderContracting@molinahealthcare.com
Washington law requires all health care providers submit credentialing applications through ProviderSource. To avoid delays please ensure applications are current, including work history and attestations. You must also grant Molina access to retrieve this application.
- For more information and step-by-step instructions on managing provider data with ProviderSource, please visit: http://www.onehealthport.com/credentialing-overview. For ProviderSource support services please contact (855) 252-4314 (option 1) or via email email@example.com.
We will evaluate your submission and provide you with a response within 120 days of the next steps. Incomplete submissions will not be evaluated.
For more information about Molina Healthcare and to review our Provider Manual, please visit: http://www.molinahealthcare.com/providers/wa/medicaid/manual/provman.aspx
For the current Apple Health (Medicaid) fee schedule please visit:
Behavioral Health Coverage
See what we cover for mental health and substance use disorders here.
Are your NPIs registered with HCA?
ALL required NPIs billed on a claim form for in-network providers must be registered with HCA in order to receive payment. These include the group billing NPI, the individual practitioner’s rendering or servicing NPI, and the attending practitioner’s NPI on a facility claim.