Alert!

The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.

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

PsychHub

PsychHub is an online platform for digital mental health education. Molina Providers are able to access PsychHub’s online learning courses through their Learning Hub for FREE. Contact your local Molina Provider Services team to learn more.

Click here to visit PsychHub

Provider Portal Update

Beginning November 16, 2020, providers who are registered Availity subscribers can access all Molina of Wisconsin services through the Availity portal. Be advised that starting November 16, 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.

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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.