If you are a contracted provider and have questions or would like to connect with your Provider Service Representative email us at WIProviderNetworkManagement@MolinaHealthCare.Com.
If you are not currently a Molina Healthcare provider and would like to join our network begin the process by completing a Non-Par Provider Contract Request Form and submitting to:
Fax: (877) 556-5863
Please notify Molina Healthcare at least 30 days in advance when you have any of the following:
Please see link to our provider information update form.
Prior Authorization (PA) UpdatesNew codes requiring Prior-Authorization effective April 1, 2019
Please take some time to review the codes below- effective April 1, 2019 a prior authorization will be required.
NEW PA required codes below:
0509T, 0510T, 0511T, 0512T, 0513T, 0514T, 0515T, 0516T, 0517T, 0518T, 0519T, 0520T, 0521T, 0522T, 0523T, 0524T, 0525T, 0526T, 0527T, 0528T, 0529T, 0530T, 0531T, 0532T, 0533T, 0534T, 0535T, 0536T, 0537T, 0538T, 0539T, 0540T, 0541T, 0542T
The current PA guide can be reviewed here.