Molinalogo

• Medicaid Resource Guide (November 2024)
• Prior Authorization Guide (1/1/23)
• MCG AutoAuth Quick Reference Guide (Availity Portal)
• Gold Card Provider Notice (coming soon)
• ECHO Health Provider Portal Resource Guide
• 2024 HEDIS Resource Guides
  • Medicaid

• Provider Orientation (effective 2/1/25)
• Provider Orientation - March 2024
• 2023 Annual PCP Substance Abuse Training
• Skilled Nursing Facility Training 2023
• EFT Registration Instructions
• Medical Foster Care Services
• Early Intervention Services/Targeted Case Management Reference Document

• Electronic Visit Verification (EVV)
  • EVV Provider Slide Deck - English
  • EVV Compliance: Real Time Tracking 3/22/24 
  • EVV Communication - Provider Reminder Notice

• How to Submit a Claim
• How to Request a Prior Authorization
• How to Submit a Provider Appeal, Dispute, Grievance
• Medication Assisted Treatment
• How to Improve Communication
• Follow Up After Hospitalization
• Coordination of Care

• My 2024 Medicaid Billing Tip Sheet (Feb 2024)
• Provider Billing Guidelines (June 2024)
• Non-Par Provider Billing Guide (March 2024)
• Ambulance & Transportation Services (Jan 2023)
• Anesthesia
• Coordination of Benefits (COB)
• Crossover Claims
• Doula Services *Revision*
• Electronic Payment/Remittance Advice Services
• Itemized Claim Reviews
• Laboratory Services
  
• Nursing Facilities
• Telemedicine Coverage & Reimbursement
• Well Child Visits

January 2025

Q1 2025 Marketplace Prior Auth Code Matrix 1/1/25

December 2024

  Diabetic Supplies/AHCA Exceptions Update 12/20/24

  November 2024

  Availity: Prior Authorization Application Update 11/14/24

  Availity: Changes to Reconsiderations Process 11/8/24

  Training Opportunities for All Specialties 11/6/24

  Molina Covers Behavioral Analysis Effective February 2024 11/1/24

  Registration Open for Provider Training 11/1/24

  Taxonomy Code Requirement Effective November 2024 11/1/24

August 2024

     Genetic Testing Prior Auth Update 8/12/24

July 2024
EVV Requirements Effective 7/1/24 

June 2024

MPIP Physician E&M Reimbursement Update Effective 10/1/23 6/14/24

May 2024

Marketplace Bulletin: Q3 PA Code Matrix 5/31/24
QVE Phase Out 5/6/24

April 2024

Hadlima (Humira Biosimilar) Added to AHCA Preferred Drug List 4/30/24

NDC Medicaid Billing 4/29/24

Observation Billing Requirements 4/19/24

Advanced Imaging Requests 4/15/24

Change Healthcare Final Update 4/5/24

March 2024

EVV Compliance: Real Time Tracking 3/22/24
Change Healthcare Outage Status Update: Call Center Info.3/18/24
Change Healthcare Outage Status Update: Eligibility Verification 3/13/24
New Prior Auth Form for Private Duty Nursing 3/6/24

February 2024

Change Healthcare Outage Status Update 2/29/24
Change Healthcare Outage 2/26/24
My 2024 Medicaid Billing Tip Sheet 2/23/24

How to Correct Claims in Availity 2/5/24

January 2024

Taxonomy Code Requirements Reminder 1/30/24
WanaBana Recall Lead Guidance 1/19/24
Post Stabilization Service Updates Effective 3/1/24 1/18/24

2023

September 2023

• Blast Fax - COA Reminder 

August 2023

• Blast Fax - Pharmacy Update July 2023 (082723)

July 2023

• Blast Fax - Avalon Provider Letter 
• Blast Fax - Provider Refund EOP and 835 Enhancements

June 2023

• Blast Fax - CGM Products LOB Clarification
• Blast Fax - Appeals Address Update (Eff: 07/15/23)

May 2023

• Blast Fax - Taxonomy Code Requirement (Eff 05/01/23) 

March 2023

• Blast Fax - Updated PNF Incentive
• Blast Fax - ALF VBP Update

February 2023

• 2023 Provider Updates
• Blast Fax - MCR Fee Schedule Reduction
• Advanced Imaging Prior Auth Reminder

January 2023

• Blast Fax MCG Auto Auth Updated

• Blast Fax - You Matter to Molina Reminder (121922)
• Blast Fax - NCCI Policy Edit (December 2022)
• Blast Fax - 2023 Q1 Codification Updates (December 2022)
• Blast Fax - Clinical Code Updates (121922)
• Blast Fax - Q4 2022 Codificaton Updates
• Blast Fax - Capitated Providers Echo Transition (120622)
• Blast Fax - Sepsis Guidelines Reminder (120922)
• Blast Fax - ProviderNet Sunset Notice (120922)

• Provider Alert - Hurricane Ian/TS Nicole Grace Period UPDATE (113022)
• Blast Fax - Statewide Pregnancy Notification Form (111522)
• Provider Bulletin - Subtropical Storm Nicole (110722)  

• Pregnancy Notification Incentive Reminder (091822)
• EVV Reminder (092022)

• Blast Fax - Interoperability (080122)
• ECHO Communication 2nd Notice

• Progeny Provider Notice (Effective 090122)
• Healthmap Provider Communication (070122)