Welcome Molina Medicare Providers!
It is important to Molina Healthcare and your patients that your provider directory demographics are accurate. Please visit our Provider Online Directory at: providersearch.molinahealthcare.com to validate your information and notify us if there are any updates.
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)
Changes for 2022:
Medicare 2022 expansion includes:
- Plan Expansions:
- SNP: (10) new plan offerings in Florida, Idaho, Michigan, Utah, Washington, New York, and Texas
- MAPD: (17) new plan offerings in Texas, Washington, California, Florida, Utah, and New Mexico
- Service Area Expansions: 83 new counties in (8) existing Molina states and (2) new states
- Existing Molina states: Florida, Michigan, New Mexico, Ohio, South Carolina, Texas, Washington, and Wisconsin
- New states: Kentucky and Massachusetts
- Plan Consolidations: Michigan H5926-004 will consolidate into H5926-001
- Plan Exits: Ohio H8176-002 members will crosswalk to Ohio H9955-001
- Plan Acquisitions: Kentucky (1), Arizona (1), Virginia (1), Massachusetts (2), and New York (1)
Guidelines
Clinical Practice Guidelines
Provider Portal User Guide
Model of Care
2022 Model of Care Provider Training Quick Reference Guide
2022 Model of Care Provider Training
Health Resources
Behavioral Health Toolkit
Culturally and Linguistically Appropriate Resources
Medical Record Standards
Quality Improvement
Home Care FAQ
HEDIS/CAHPS
Formulary
Policies
Member Rights & Responsibilities
Provider Rights & Responsibilities
Advance Directives
Credentialing Rights
Fraud Prevention
Patient Safety
In Office Laboratory Tests
Payment Integrity Policies
Care for Diverse Populations
Industry Collaborative Effort (ICE) – Better Communication, Better Care
Communications
Medicare Compliance Program
The Molina Compliance Hotline:
Ph: 866-606-3889
To report an issue online visit: https://molinahealthcare.AlertLine.com
Medicare Compliance Training
Skilled Nursing Facility
2017 Nursing Facility Provider
Ohio Nursing Facility and Assisted Living Reference Guide
Non-Contracted Providers
Non-Contracted Provider Dispute and Appeals Processes
Waiver of Liability