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Molina’s Provider Self Services has a variety of tools to simplify your transactions whether you need to check eligibility or check claim status. For more information contact Provider Services. Molina Healthcare is now collecting National Provider IDs (NPIs) from contracted and non-contracted providers. Submit your NPI to Molina via our Provider Self-Services Portal.

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.

• Before you contact Molina, you must have your billing and rendering NPI’s registered with the Health Care Authority (HCA).http://www.hca.wa.gov/billers-providers/apple-health-medicaid-providers/enroll-provider Please note, all rendering and billing NPI numbers 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.

• Begin the process of joining our network of quality providers by completing a Contract Request Form and submit along with a W-9 to MHWProviderContracting@MolinaHealthcare.com.

• 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 provider.support@medversant.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:
www.hca.wa.gov/billers-providers-partners/prior-authorization-claims-and-billing/provider-billing-guides-and-fee-schedules