Providers

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Communications & Important Reminders

As our health care partner, it’s important that you have all the latest information about Molina’s operations. Please click the Provider Communication links below for up-to-the-minute details about Molina’s key plan updates, legislative changes, industry trends and news, upcoming meetings, training opportunities, and emergent issues in the industry.

Provider Newsletters Communications & Important Reminders

Announcements and Reminders

New Provider Communication

****New Provider Communication – Please click here for Resources and Communications****

Primary Care Designation Reminder

As a Primary Care Provider by designation, you can always access the roster of Molina Marketplace members assigned to your practice via your provider portal. However, you do not need to be designated as a member’s PCP to provide services to Molina members. Eligibility and benefit terms apply.

PsychHub

PsychHub is an online plaform for digital mental health education. Molina Providers are able to access PsychHub online learning courses through their Learning Hub for FREE. Contact your local Molina provider services team.

Read More PsychHub

Marketplace Service Areas

View the states, counties, and communities we serve

US States Map

Benefits of Provider Portal

Take care of business on your schedule. Available 24/7, the Provider Portal gives you an easy way to make short work of a number of tasks, including:

• Check Member Eligibility

• Submit and check the status of your claims

• Submit and check the status of your service or request authorizations

• View your HEDIS scores

• Prior Auth Lookup Tool

Click to Login or Register Benefits of Provider Portal

Stay up to date with our Molina Resources

Health Resources

Quality Improvement | HEDIS | CAHPS | Culturally and Linguistically Appropriate Resources | Clinical Practice Guidelines | Preventive Health Guidelines | Health Management | Integrated Case Management | Molina’s 24 Hour Nurse Advice Line | Opioid Safety Resources | Utilization Management | HEDIS/CAHPS Tip Sheets | Provider Education Series

Go To Health Resources Page Health Resources

EDI ERA/EFT

EDI | ERA/EFT

Go To EDI ERA/EFT Page EDI ERA/EFT

HIPAA

HIPAA Transactions | HIPAA Code Sets | Unique Identifiers | Privacy of Health Info | HIPAA Security | Contact HIPAA

Go To HIPAA Page HIPAA

Drug List

Drug Formulary | Medication Prior Authorization Criteria and Clinical Policies | Physician Administered Preferred Drug List

Go To Drug List Page Drug List

Policies

Member Rights and Responsibilities | Fraud Prevention Tips | Reimbursement Policies

Go To Policies Page Policies

Need Help?

View our FAQs for answers to some commonly
asked questions.

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