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:

     Email: WIProviderContracting@MolinaHealthCare.Com
     Fax: (877) 556-5863

Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

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 Portal

Learn 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.

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.