For Molina Members About Molina
Type Size:
We use cookies on our website. Cookies are used to improve the use of our website and analytic purposes. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Read more . I agree

Welcome, Wisconsin Healthcare Providers

If you are a contracted provider and have questions or would like to connect with your Provider Service Representative email us at
WIProviderEngagement@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:

  Email: Molina.Wisconsin@MolinaHealthcare.com
     Fax: (877) 556-5863

​​​

Important Reminder:

Please notify Molina Healthcare at least 30 days in advance when you have any of the following:

  • • Change in office location,
       office hours, phone, fax, or email
  • • Addition or closure of office location​
  • • ​Addition or termination of a
       provider
  • • Change in Tax ID and/or NPI
  • • Open or close your practice to new
       patients (PCPs only)

Please see link to our provider information update form.

​​​​​​​

Prior Authorization (PA) Updates
New 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.​

You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Click Ok to continue.

This link will take you away from the Dual Options section of MolinaHealthcare.com

You are about to leave the Molina healthcare website. Click Ok to continue.

This link will take you away from the Dual Options section of MolinaHealthcare.com

You are leaving the Molina Medicare product webpages and going to Molina’s non-Medicare web pages. Click Ok to continue.

You are leaving the Molina Healthcare website. Are you sure?