Provider Bulletin

The Provider Bulletin is published for Molina Healthcare participating providers in Idaho to communicate updates about medical management policies and procedures.

*The links below are in PDF format (icon PDF)

2024 Month 
Managing Claims Workflow July 2024 
Updated RALF Rates Letter - July 1, 2024  July 2024
Availity Essentials – Claims Dispute (Appeal) Enhancement - June 6, 2024 June 2024 
Optum-Change Healthcare Outage - March 18, 2024
 March 2024
Optum-Change Healthcare Outage - March 13, 2024
 March 2024 
Claims Edit Issue - March 8, 2024 March 2024 
Optum-Change Healthcare Outage - February 29, 2024 February 2024 
Optum-Change Healthcare Outage - February 26, 2024 February 2024 
Claims Edit Issue - February 23, 2024 February 2024 
CMS Final Rule for CY24 – Appointment Wait Time Standards  January 2024 
CMS Final Rule for CY24 – Behavioral Health Changes January 2024 
2023 Month
Reimbursement Policy for (DME) Rental vs. Purchase
 December 2023 
ID Claim Denials & Missing Claims Issue Update January 2023
2022 Month
Notice of Change in Process for Incorrect Paper Claims Address November 2022
Medicare/MMP Prior Auth Updated Forms Bulletin  September 2022
ECHO EFT Post-Transition Bulletin September 2022
ProviderNet Outage Bulletin - UPDATE  August 2022 
ECHO EFT Transition Provider Notice  July 2022 
ProviderNet Outage Bulletin  July 2022 
MCG Cite AutoAuth Correction Bulletin - Marketplace  June 2022 
Medicare Home Health Prior Authorizations Bulletin  June 2022 
Availity Essentials Provider Portal Live Webinar Training Bulletin  June 2022 
Healthmap Program Notice - Medicare/Marketplace  May 2022 
SureScript Hub & Real-Time Benefit Pharmacy Bulletin  April 2022 
ID SNF Prior Auth Exception Expiration Bulletin  March 2022 
MyChoice Medicare Member Flex Card Announcement  February 2022 
New MCG Cite AutoAuth Self Service Announcement - Marketplace  February 2022 
ID Outpatient Definitive Drug Testing Notification  January 2022 
Check Print Error Notification  January 2022 
2021 Month
Member ID Card Distribution 2022 - Potential Delay Bulletin  December 2021 
ID Marketplace Prior Authorization Process & Contact Info Bulletin  December 2021 
Amended Executive Order 14042 Update - 2nd Bulletin   December 2021
Executive Order 14042 Idaho Medicare/MMP Provider Manual Update  October 2021 
SNF Prior Authorization Process Exception Update for Medicare, MMP and Duals LOBs  October 2021 
2021 Provider Satisfaction Survey Reminder & Drawing Bulletin  October 2021 
2021 Provider Satisfaction Survey Bulletin  August 2021 
Prior Authorization Fax Numbers July 2021 
New Online Provider Directory Bulletin June 2021
2020 Month
E&M Payment Integrity Announcement  April 2020
COVID-19 Provider FAQ March 2020
COVID-19 Telehealth Billing Provider Notice March 2020