You Matter to Molina

 
 

Welcome!

Molina Healthcare of Nevada’s You Matter to Molina program prioritizes a direct, personal connection with our entire network of providers and supports their efforts to deliver high-quality and efficient health care for Molina members. 

Through the You Matter to Molina program, our dedicated Provider Relations Representatives partner with providers and their administrative staff to resolve questions and issues quickly and efficiently, solicit feedback about improvements to technology, tools, and processes, and provide valuable education and resources that support providers to navigate and engage with the health plan successfully.

Molina is committed to analyzing and applying provider feedback to design solutions for provider issues and problems that cause the most significant administrative burden.  

Your feedback is important, and You Matter to Molina.

 

The You Matter to Molina page is a resource and place to share feedback. Below, you will be able to find the following information:

  • Library of Provider Bulletins.
  • Current calendar of training opportunities with a link for registration.
  • Access to Molina Provider Advisory Council calendar of meetings, presentations, and meeting minutes.
  • Important registration and user information for our Availity provider portal.
  • On-demand Molina training and presentations.
  • Valuable provider tools, forms, and resources.
  • Provider feedback opportunities including satisfaction surveys and a suggestion box.
  • Success stories highlighting how Molina has heard you and used your feedback to improve our business processes and technology.

Provider Bulletins


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2024

Annual Model of Care Training Requirement 2024 (Oct. 2024)

Mailing Address for Appeals and Grievances (Oct. 2024)

Optum Pause and Pay and Behavioral Health Services  (Oct. 2024)

Medicaid Physician Rate Increase (Sept. 2024)

RubiconMD Webinar (Sept. 2024)

Multi-factor Authentication Coming Soon (Sept. 2024) 

Q3 2024 Provider Newsletter (Sept. 2024)                                                          

Model of Care Training (Aug 2024)

Cardiology ECHO Training (Aug 2024) 

Home Health and Personal Care Services Update (Aug 2024)

New Century Health is now Evolent (Aug 2024)

Q2 2024 Provider Newsletter (July 2024)
2024 Medicaid Provider Manual Addendum (July 2024)
Availity Claims Workflow: Managing Claims (July 2024)
Commitment to Wellness Push (June 2024)

Update to Billing Guidelines for Personal Care and Certain Home Health Services (June 2024)
Stimulant Use Disorder ECHO Training (June 2024)
Telehealth for Behavioral Health Services (May 2024)
A reminder that balance billing is not allowed (May 2024)

Wearable Cardioverter Defibrillator Vest Covered Effective Jan. 1, 2024 (May 2024)
EPSDT Services (April 2024)
Model of Care Training (April 2024)
Ouma Health - Partner for Maternity Providers and Molina Members (March 2024)

Provider Manual Update (March 2024)

Q1 2024 Provider Newsletter (March 2024)
Optum Change Healthcare Outage Update (March 2024)
Optum Pause & Pay (March 2024)
Optum Change Healthcare Outage Update (March 2024)

Reimbursement Policy for Durable Medical Equipment (DME) Rental vs. Purchase (March 2024)
Optum Change Healthcare Outage Update (Feb. 2024)
Optum Change Healthcare Outage (Feb. 2024)
ProgenyHealth Neonatal Care Services (Feb. 2024)

Prior Authorization Tips for Advanced Imaging (Feb. 2024)  
Update to Postpartum Coverage  (Feb. 2024)
CMS Final Rule for Cy24 Behavioral Health Changes (Jan. 2024)  

CMS Final Rule for Cy24 Appointment Wait Standards for Medicare & MMP Effective 1/1/2024 (Jan. 2024)  

Availity: How to Correct a Claim (Jan. 2024)  
New Process for Post-stabilization Services (Jan. 2024)  
Availity Live Webinars: Submitting and Managing your Transactions for Molina Healthcare on Availity (Jan. Feb. 2024)  
Electronic Visit Verification (EVV) Updates for Personal Care and Certain Home Health Services (Jan. 2024)  
COVID-19 Emergency Use Authorization for Vaccine Administration and Vaccine Procedure Codes (Jan. 2024)  

 

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2023

Fourth Quarter Provider Newsletter (Dec. 2023)  
Model of Care Training (Dec. 2023)  
Telehealth and Billing Q3014 (Dec. 2023)  
Home Health Agency/Personal Care Services Notification (Nov. 2023)  
Payment of Refund and Forwarding Balance Reporting Enhancement (Nov., 2023)  
Availity Live Webinars: Submit & Track Your Appeals (Nov. 2023)  
Project ECHO Training Opportunity (Oct. 2023)  
Annual Model of Care Training Requirement 2023 (Oct. 2023)  
Reno Ear Nose & Throat (ENT) Specialists (Sept. 2023)  
Availity Live Webinars: Availity Essentials Provider Portal Overview Training for October, November, December dates. (Sept. 2023)  
Immunization Billing Guidance (Sept. 2023)  
Advanced Imaging Prior Authorization Tips (Sept. 2023)  
Medicaid Provider Manual Addendum (Aug. 2023)  
Cotiviti Coding & Reimbursement (Aug. 2023)  
Availity Live Webinars: Availity Essentials Provider Portal Overview for Molina Healthcare Providers (Aug. Sept. 2023)  
Commitment to Wellness Push (Aug. 2023)  
Redetermination QRG Slides (July 2023)  
Availity Live Webinars: Submitting & managing your transactions (July, Aug. 2023)  
Project ECHO Nevada - Stimulant Use Disorder Series (June 2023)  
Mental Health Matters Quick Reference Guide (QRG), SDoH Services Flyer (May 2023)  
FDA Withdraws coverage for hydroxyprogesterone caproate, (makena) (May 2023)  
Availity Live Webinars: Submitting & managing your transactions (May, June 2023)  
Certified Community Behavioral Health Center (CCBHC) – Billing Notification (April 2023)
Well Check & Sick Visits Combined - Policy Update (April 2023)  
Molina & Healthmap Partner for Patient Kidney Health Management (March 2023)  
The Resumption of Medicaid Redeterminations (March 2023)  
Availity Live Webinars: Submitting & managing your transactions (March, April 2023) 
Provider Representatives - Territory Assignments (March 2023) 
Medicaid Changes & Insurance Options (March 2023) 
Availity Live Webinars: Overpayments (March 2023) 
Availity Live Webinars (Feb., March 2023) 
Providers Performing Telehealth Services: Audio-only Telehealth Services Allowed (Feb. 2023) 
Utilization Management/Care Management Department Contact Information (Feb. 2023) 
Prior Authorization Updates - ST, OT, PT (Feb. 2023) 
Behaviorally Complex Care Program (Jan. 2023) 
Availity to Molina Legacy Portal (Jan. 2023) 
Availity Essentials Provider Portal Webinars (Jan., 2023) 
New Provider Trainings (Jan. 2023) 
Availity: Atypical Providers Register Your Non-Healthcare Business - QSG (Jan. 2023) 
Availity: Coming Soon- new capabilities (now - early 2023) 

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2022

 

Availity to Molina Legacy Portal (Dec  2022)
Molina Medicare will go live January 1, 2023 (Dec. 2022)
How To Check Appeal Status via Availity Payer Spaces (Dec. 2022)
Update to Prior Authorization Guidelines for Oncology  (Dec. 2022)
Provider Claims Submission Requirements (Nov. 2022)
ProviderNet Sunsetting Notice (Nov. 2022)
Availity Live Webinars (Oct., Nov., Dec. 2022)
Behavioral Health Claims Project/Prior Authorization Denial (Oct. 2022)
Enhanced Claims Status & Smart Claims (Oct. 2022)
Important Notice: Oncology Quality Management Vendor - New Century Health (Oct. 2022) 
Availity Live Webinars (Aug., Sept. & Oct., 2022)
Update -Transition to EFT/VCC effective 8/9/2022 (July 2022)
Second notice -Transition to EFT/VCC effective 8/9/2022 (June 2022)
Availity Live Webinars (July & Aug. 2022) 
Pharmacy Network Changes (April 2022) 
Pharmacy Network Changes (April 2022) 
Introducing RubiconMD eConsults (March 2022) 
Reminder: 90-Day Transition of Care Period Ends March 31,2022 (March 2022)
ATTN Providers: MCD Web Announcement 2740 Plan for End of COVID-19 Public Health Emergency (March 2022)
Cardiology Authorization process (March 2022) 
Pre-pay Audit FAQs (March 2022)  
Transition of Care (TOC) (January - February 2022) 
Authorization Process Change to J-Code Policy Effect January 1, 2022 - Type 20 physicians (Dec. 2022) 
Paper Claims Billing Tips (2022)
Eligibility & Benefits, Claims and Remit information online (2022)
Entering Multiple Prior Authorization Requests in Availity (2022)
New Claims Appeal Status Feature (2022)
Claim Form Submission Requirements (Sept. 2022)
Update -Transition to EFT/VCC (July 2022)
Cognitive Assessment and Care Planning Procedure Code 99483 - Hospital/outpatient based providers (Oct. 2022)
Cognitive Assessment and Care Planning Procedure Code 99483 -Type 20 physicians (Aug. 2022)
UPDATE: Change Healthcare ProviderNet Portal Outage (2022) 
Level of Care Guidance (2022)
Vaccine Administration Incentive (June, 2022)
Screening, Brief Intervention and Referral to Treatment (SBIRT) (2022)

Molina Provider Advisory Council

Purpose of the Molina Provider Advisory Council
The purpose of the Molina Provider Advisory Council is for Molina Healthcare of Nevada to gather information and feedback from providers to understand the issues affecting them. It is a forum for discussion about challenges and barriers, collaborative problem-solving, and strategy development aimed at improving healthcare delivery in our state. The Provider Advisory Council is one of many ways Molina plans to present information and get direct feedback from the provider network.


Join the Molina Provider Advisory Board
If you would like to join our Provider Advisory Board, please email co-chair Sara.Cooper@MolinaHealthcare.com with your name, address, and contact information.


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Upcoming Trainings

RubiconMD Webinar Training 

Rheumatology ECHO Training 

Molina Healthcare of Nevada Provider Orientation  

Molina Medicare Model of Care Training 2024  

Model of Care Attestation 2024  

Model of Care Provider Training Quick Reference  

Gender Affirming Care ECHO


To register, click on the “Register” link for the desired date listed below and follow the registration directions. Registration confirmation will follow shortly after.