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 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
Need a Prior Authorization?
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
Provider Portal Update
Register Now for Availity, Molina Healthcare's Inc. New Provider PortalLearn how Molina is working with Availity at https://www.availity.com/molinahealthcare
Providers can access all Molina of Wisconsin services through the Availity portal. Be advised that starting November 16, 2020, the Molina Call Center will not be accepting calls for claims status. The Availity portal should be used for all Molina of Wisconsin services.
If you have any questions email us at WIProviderNetworkManagement@MolinaHealthCare.Com.
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
- 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.