Provider Bulletin

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

Sign up to receive Molina Healthcare's Provider Bulletin via email here. 

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

2024 Month
Provider Bulletin: Availity Auth Update, Model of Care Training, CES Edit 9164, OAC 5160-44-05 Update, Procedure Codes T2042-T2045 Update, ODM BH Provider Manual, Cultural Competency Training, Claim Reconsideration Process, Corrected Claim Process, How to Compress Files, Live Provider Training Sessions November 2024
Quality Provider Bulletin: Access to Care, Telehealth, Doulas, and Molina Benefits for Pregnant People, Chronic Conditions, Healthy Adults, Healthy Children, Behavioral Health November 2024
Provider Bulletin - Special Edition: Evolent Health: Oncology Update November 2024
Provider Bulletin - Special Edition: Availity Authorizations Update, Advanced Imaging PA Submission Change October 2024
Provider Bulletin: Availity Essentials Portal Reconsiderations vs. Appeal Options, Open Enrollment: January 2025, Behavioral Health Peer Support Service, Structured Family Caregiving Waiver Rates, 2024/2025 Flu Season Recommendations, Live Provider Training Sessions, New Diabetes Care Hub, Q3 Provider Newsletter, Access Standards, Americans with Disabilities Act, Doula Services October 2024
Provider Bulletin: Medicaid Timely Filing Extension, Q4 PA Code Changes, New Molina Cotiviti Edits, New Medicare Benefit, CPT II Coding Training, Doula Services, Optum Prepayment Claim Review, UPDL: 30-Day Change Notice, Diabetes Benefits Update in 2024, Live Provider Training Sessions, EVV: Claims Adjudication Process September 2024 
Provider Bulletin: PNM: Inactive Status, Advanced Imaging PA Submission Change, Optum Prepayment Claim Review, EVV: Claims Adjudication, Remind Patients: Healthchek, Quality Living Program Awardees, Molina Expands Partnership: Evolent Health, Live Provider Training Sessions, Q3 PA Code Changes for Oncology August 2024
Quality Provider Bulletin: Follow-up Care and Readmission Reductions, Glycemic Status Assessment for Patients with Diabetes (GSD), Healthy Children and Adults, Molina Incentivizes Healthy Behaviors
 August 2024
Provider Bulletin - Special Edition: Updated Launch Date: Expanded Partnership with Evolent Health July 2024
Provider Bulletin: Molina Expands Partnership with Evolent Health, Live Provider Training Sessions, ODM Provider Appointment Access and Availability Surveys, Observation Status, HCBS Waiver: Assisted Living Update, Professional Claims Limit of 50, EVV: Live-In Caregivers, EVV: GPS Consent Form, EVV: Training, Itemized Statement Requirements, Provider Hours Requirement, Dental Reminder, Q2 Provider Newsletter, Q3 PA Code Changes for Oncology July 2024
Provider Bulletin: Live Provider Training Sessions, Q3 PA Code Changes, Notice of Changes to Provider Manual, UPDL: 30-Day Change Notice, Availity Essentials Portal: HEDIS Profile, Molina Provider Surveys, Balance Billing, OhioRISE Mixed Services Protocol, LGBTQ+ Covered Services, Molina Expands Partnership with Evolent Health, Website Roundup, Diabetes Benefits Update in 2024, Hospice and Vent/Vent Weaning Billing Guidelines, In Case You Missed It June 2024
Quality Provider Bulletin: Diabetes Self-Management Education, Provider Messaging Most Powerful for Patients, Child and Adolescent Well Visits, Annual Adult Visits, Antidepressant Medication Management, Disparities and Health Equity in LGBTQ+ Seniors May 2024
Provider Bulletin: Live Provider Training Sessions, ODM Update: Terminations Resuming for Failure to Complete Medicaid Agreement Revalidations in PNM, Reimbursement Policy: DME Rental vs. Purchase, Home Health Authorization Requests for Special and Complex Needs, MCOs Reinvest in Ohio Communities, Drugs Carved Out: Fee-for-Service, Requests for Retrospective Authorization, Quality Living Program Awardees, PA Requirements: Non-Par Providers, Ownership and Control Disclosure Form Requirements, Molina of Ohio Check Runs, Review Phone Numbers in the PNM, Website Roundup, CMS Final Rule for CY24: BH Changes, In Case You Missed It May 2024
Provider Bulletin - Special Edition: Update April 5, 2024: Optum-Change Healthcare Outage
 April 2024
Provider Bulletin - Special Edition: Annual Mandatory D-SNP Medicare Model of Care Training
 April 2024
Provider Bulletin: New Provider Bulletin Layout, New Molina CES Edit 9162 Not a Principal Diagnosis Code, Cost of Poverty Experience (COPE) Simulation, Annual Mandatory Model of Care Training, Q1 Provider Newsletter, Provider Training Sessions, In Case You Missed It
 April 2024
Provider Bulletin - Special Edition: Update March 18, 2024: Optum-Change Healthcare Outage
 March 2024
Provider Bulletin - Special Edition: Update: Optum-Change Healthcare Outage March 2024
Provider Bulletin: Provider Bulletin Survey, Q2 PA Code Changes, Optum-Change Healthcare, 2024 HEDIS, TenderHeart Health Outcomes, Annual Wellness Visits, Acupuncture Services, How to Understand Advances, UPDL: 30-Day Change Notice, Website Roundup, Did You Know: Help Finder, Emailing PHI Securely, Americans with Disabilities Act, Demographic Info: Fax Number, CMS: Appt Times & Specialties, Provider Training Sessions, Provider Manual Update, ODM Update, Post-Stabilization, You Matter to Molina, Cotiviti Drug & Biological Edits, Coordinated Services Program, CMS: BH Changes, Medicaid Renewals, CES Edit 9531, MCG Auto-Auth Adv. Imaging, Hemgenix & Roctavian, Diabetes Benefit Updates, PA Request Forms Reminder, Enrollment Requirements, Availity Appeals Submission March 2024 
Provider Bulletin - Special Edition: Cultural Competency March 2024
Provider Bulletin - Special Edition: Update: Optum-Change Healthcare Outage February 2024
Provider Bulletin - Special Edition: Optum-Change Healthcare Outage February 2024
Quality Provider Bulletin: Voice of the Customer, Controlling Blood Pressure, The Great Paradigm Shift, Older Adults are Embracing Technology February 2024
Provider Bulletin: ODM Update: Terminations to Resume for Failure to Complete Medicaid Agreement Revalidations in PNM, Post-Stabilization, You Matter to Molina, New Molina Cotiviti Drug and Biological Edits, New Molina CES Edit 9531 Inappropriate Modifier to Diagnosis Combination, Molina Policy COVID-19 Bypasses, Provider Training Sessions, OhioRISE Mixed Services Protocol Updated, Prior Authorization (PA) Code Update: 0345U, Hemgenix and Roctavian Coverage, Reimplementation of the Coordinated Services Program, CMS Final Rule for CY24: Appointment Wait Time Standards and List of Evaluated Specialties Update, MCG Auto-Authorization Advanced Imaging, PsychHub Information, CMS Final Rule for CY24: BH Changes, Quality Living Program Awardees, Updated: Notice of Changes to the Provider Manuals, ePRAF: Technical Assistance Intervention Package, Updated: New ODM BH Provider Manual and Rates, Dental Credentialing Update, ePRAF: Quality Enhancer Incentive Program, Claim Hold on Marketplace PPS, Diabetes Benefits Update in 2024, Process for Submitting EDI Inquiries to Molina, Third Party Liability Exception, Real-Time Claim Adjustments, PA Request Forms, Medicaid Enrollment Requirements, Claim Status Secure Messaging: Availity, Medicaid Renewals, New Availity Function: Submit and Track Appeals, EOP Refund and Forwarding Balance Enhancement February 2024
Provider Bulletin – Special Edition: Significant Updates for 2024 Medicaid Provider Manual January 2024
Provider Bulletin: Updated: Molina Policy COVID -19 Bypasses, PA Code Update: 0345U, New Functionality in Availity: Submit and Track Appeals, Reimplementation of the Coordinated Services Program, Provider Training Sessions, Ohio Recovery Housing Residences Registration, OhioRISE Mixed Services Protocol Updated, Claim Hold on Marketplace Prospective Payment System, Updated: Notice of Changes to the Provider Manuals, Medicaid Renewals, New ODM Behavioral Health Provider Manual and Rates, Q4 Provider Newsletter, PA Request Forms Reminder, Evaluation and Management (E&M) Reminder, CMS Final Rule for CY24: Appointment Wait Time Standards and Additional Professionals Included on the List of Evaluated Specialties, CMS Final Rule for CY24: Behavioral Health Changes, Update: New Century is Now Evolent, ODM Source of Truth for Provider Data, Review Your Molina Medicaid Member's Renewal Date in Availity, ODM Rate Updates for 2024, New Medicare PA Guide, Forms, Diabetes Benefits Update in 2024, Medicaid Enrollment Requirements, ePRAF: Technical Assistance Intervention Package, EOP Refund and Forwarding Balance Reporting Enhancement, ePRAF: Quality Enhancer Incentive Program, HEDIS Measure: Transitions of Care, Molina CES Edit 9534 – Modifier GZ, New Molina CES Edit 9056 – Unspecified Code, Retirement of Episode-Based Payment Model Reports, Optum Prepayment Claim Audit, Claim Status Secure Messaging: Availity Essentials Portal, Dental Credentialing Update January 2024
2023 Month
Provider Bulletin - Special Edition: Significant Updates for 2024 MyCare Ohio Provider Manual  December 2023 
Provider Bulletin: PA Code List Update, Retirement: Episodes of Care, New Name: Provider Relations, CES Edit 9056, CES Edit 9534, Prepayment Claim Audit, HEDIS: Transitions of Care, Real-Time Claim Adjustments, Secure Message: Claim Status, Non-Contract Provider Guide, Dental Credentialing Update, UPDL: 30-Day Change Notice, Cultural Competency Training, Website Roundup, New Century is Now Evolent, Medicare PA Guide and Forms, Provider Training Sessions, Changes to Provider Manual, EOP Refund, Annual Model of Care, Source of Truth, TenderHeart Health Outcomes, Respiratory Syncytial Virus, Electronic Visit Verification, 2023/2024 Open Enrollment, Enrollment Requirements December 2023 
Quality Provider Bulletin: Breast and Cervical Cancer Screenings - Member Incentives, Improving Follow-up After Hospitalization for Mental Illness (FUH) Rates, Childhood Immunizations, Schedule and Complete Adult Annual Visits Before End of Year, Diabetes Self-Management Education, Diabetes Care November 2023
Provider Bulletin: ODM Source of Truth for Provider Data, Respiratory Syncytial Virus Season, Electronic Visit Verification (EVV), Molina Quality Living Program Awardees, Provider Training Sessions, How to Compress Files, 2023/2024 Open Enrollment, Claim Hold on Marketplace Prospective Payment System, Medicaid Enrollment Requirements, MCG Auto-Authorization Advanced Imaging: Cite AutoAuth, Review You Molina Medicaid Member's Renewal Date in Availity, TenderHeart Health Outcomes Partnership, Marketplace Skilled Nursing Facility Per Diem, Annual Mandatory Model of Care Training, Access Standards, Corrected Claims Process, Notice of Changes to PA Requirements, Claims Reconsideration Process, Notice of Changes to the Provider Manual, Fighting Fraud, Waste and Abuse November 2023
Provider Bulletin - Special Edition: Provider Network Management (PNM) Source of Truth October 2023
Provider Bulletin: Hospice & Vent/Vent Weaning, 2023/2024 Open Enrollment, Marketplace Claim Hold, 2023/2024 Flu Season, CES Edit 9531, Prepayment Claim Audit, E&M Update, Dexcom Web Series: CGMs, Q3 Provider Newsletter, Molina COVID-19 Bypasses, MCG Auto-Auth Adv. Imaging, Provider Training Sessions, Prepayment Coding Validation, TenderHeart Health Outcomes, Value-Added Benefits, ORP Provider Information, Annual Model of Care, It Matters to Molina Corner, Enrollment Requirements, Renewal Date in Availity, EOP Refund Enhancements, Marketplace SNF Per Diem, Changes to PA Code List, Changes to Provider Manual October 2023 
Provider Bulletin: Molina Policy COVID-19 Bypasses, MCG Auto-Auth Adv. Imaging, New Prepayment Coding Validation, ORP Provider Information, CES Edit 9031 Add-On Procedure, CES Edit 9056 Unspecified Diagnosis, CES Edit 9064 Modifier 78, CES Edit 9130 Home Health Code 50, CES Edit 9523 Surgical Procedure, Annual Cultural Competency Training, Provider Hours Requirement, Americans with Disabilities Act, Remind Patients about Healthchek, UPDL: 30-Day Change Notice, Changes to PA Code List, TenderHeart Health Outcomes, Provider Training Sessions, Value-Added Benefits, Marketplace SNF Per Diem, Member Renewal Date in Availity, It Matters to Molina Corner, Medicaid Enrollment Requirements, EOP Refund Enhancements, CMC MCO Resource Guide, Annual Model of Care, Changes to Provider Manual  September 2023 
Provider Quality Bulletin: Back-to-School and Well-Care Visits, Annual Adult Visits, Cervical Cancer Screenings with a Look into Health Equity, Continuous Glucose Monitors, Antipsychotic Metabolic Monitoring, Older Adults August 2023
Provider Bulletin: "It Matters to Molina" Corner, Value-Added Benefits, Application of Modifier 78, New Cotiviti Edit for Lipid Testing, EOP and 835 Files Refund Reporting Enhancement, Cost of Poverty Experience (COPE) Simulation, Balance Billing, Marketplace Skilled Nursing Facility Per Diem, Annual Mandatory Model of Care Training, Ohio CMC MCO Consolidated Resource Guide, Molina Quality Living Program Awardees, Process for Submitting EDI Inquiries to Molina, Members' Obstetric and Gynecological Health Reminder, TenderHeart Health Outcomes Partnership, Annual Mandatory Model of Care Training, Quest Diagnostics: Molina's Preferred In-Network Clinical Laboratory Provider, Molina Credentialing Update, PsychHub Information on Provider Website, Behavioral Health QMHS Billing Modifier, Review Your Molina Medicaid Member's Renewal Date in Availity, Notice of Changes to PA Requirements, Fighting Fraud, Waste, and Abuse, Notice of Changes to the Provider Manual August 2023
Provider Bulletin: Quest Diagnostics: Molina's Preferred In-Network Clinical Laboratory Provider, Annual Mandatory Model of Care Training, Modifier Utilization for Facility Claims, Molina Hospice and Vent/Vent Weaning Billing Guidelines, Itemized Statement Requirements, Ohio CMC MCO Consolidated Resource Guide, Q2 Provider Newsletter, National Provider Identifier (NPI) and Claim Submission, Ohio Amblyope Registry, Process for Submitting EDI Inquiries to Molina, Behavioral Health QMHS Billing Modifier, Medicaid Enrollment Requirements, TenderHeart Health Outcomes Partnership, Molina Credentialing Update, Non-Emergency Medical Transportation, Review Your Molina Medicaid Member's Renewal Date in Availity, Enteral Nutrition Payment Changes, Notice of Changes to PA Requirements, Notice of Changes to Provider Manual, Fighting Fraud, Waste, and Abuse July 2023
Provider Bulletin - Special Edition: Ownership and Control Disclosure Form Requirement
 June 2023
Provider Bulletin: Process for Submitting EDI Enquiries to Molina, TenderHeart Health Outcomes Partnership, Notice of Changes to PA Requirements, Notice of Changes to the Provider Manual, Non-Emergency Medical Transportation, Add-On Procedure Codes, Psychiatric Diagnostic Evaluation Limitations, Member Renewal Date in Availity, Did You Know: Pacify, Molina Credentialing Update, Enteral Nutrition Payment Changes, FDA Withdrawal of Makena®, Nursing Coverage to Meet Personal Care Needs, Fax Submission File Size Update for Clinical Information, Ohio Pulsewrx Program for Continuous Glucose Monitoring, End of COVID-19 PHE: PASRR, A&G Mailing Address Update, Unified Preferred Drug List: 30-Day Change Notice, Molina Quality Living Program Awardees, Revenue Code 0120 Update, Reimplementation of PAs for Specific Drug Classes, Filing Expedited Service Requests or Appeals, EOP and 835 Files Refund Reporting Enhancement, Medicaid Enrollment Requirements, Women, Infants and Children (WIC),  Ordering, Referring, and Prescribing Providers NPI, Molina Legacy Provider Portal Sunsetting, New Century Health Fax Number Update, Partnership with Avalon for Laboratory Benefit Management June 2023
Provider Bulletin - Special Edition: Molina Legacy Provider Portal Sunsetting, Important Information Regarding the Resumption of Medicaid Renewals, Provider Demographic Updates, Get the Molina Provider Bulletins via Email
 May 2023
Provider Bulletin - Special Edition: Annual Mandatory D-SNP Medicare Model of Care Training
 May 2023
Provider Bulletin - Special Edition: End of COVID-19 Public Health Emergency (PHE) May 2023
Provider Quality Bulletin: Electronic Prenatal Risk Assessment Form (ePRAF) and Progesterone Changes, Preventive and Sick Visits on the Same Date of Service, Tips to Improve Adult Preventive Care Visits, Health Equity and Disparities in Older Adults, Diabetes Self-Management Education May 2023
Provider Bulletin: Enteral Nutrition Payment Changes, Medicaid Alert Regarding Fraud Attempts, Behavioral Health Toolkit, Surgical Procedure Anatomical Modifier, PAs for Specific Drug Classes, COVID-19 (Coronavirus) Codes, Molina EMR Messaging, FDA Withdrawal of Makena®, Molina Legacy Provider Portal Sunsetting, Fax Submission File Size Update, New Services Added to Prepayment Coding Validation, ABN Guidance, Guided Care Rebranding, New Century Health Fax Number Update, Appeals and Grievances (A&G) Mailing Address Update, Revenue Code 0120 Update, Filing Expedited Service Requests or Appeals, EOP and 835 Files Refund Reporting Enhancement, Resumption of Medicaid Renewals, Partnership with Avalon for Laboratory Benefit Management, Medicaid Enrollment Requirements, Women, Infants, and Children (WIC), Ordering, Referring, and Prescribing Providers NPI, It Matters to Molina Corner, Availity Overpayments, Changes to PA Requirements, Fighting Fraud, Waste, and Abuse, Changes to Provider Manual May 2023
Provider Bulletin - Special Edition: FDA Withdrawal of Makena® April 2023 
Provider Bulletin - Special Edition: Molina Legacy Portal Sunsetting, New Enhancements in Availity, Availity Provider Portal Training, Medicaid Renewals, Provider Demographic Updates, Get the Molina PB via Email  April 2023 
Provider Bulletin: Fax Submission File Size, ABN Guidance, Molina Guided Care Rebranding, EOP and 835 Enhancements, Prepayment Coding Validation, New Century Health Fax Number, A&G Mailing Address Update, Filing Expedited UM Requests, Revenue Code 0120 Update, Payer ID Reminder, Medicaid Enrollment Requirements, Did You Know: Molina Help Finder, BH QMHS Billing Modifier, Women, Infants, and Children (WIC), Molina of Ohio Check Runs, Q1 Provider Newsletter, Medicaid Renewals, Partnership Avalon Healthcare, Molina Legacy Portal Sunsetting, ORP Providers NPI, It Matters to Molina Corner, Provider Training Sessions, Changes to PA Code List, Website Roundup, BH Codes: H2020, H0038, H0048, Demographic Info: Fax Number, Availity: Overpayments Process, 2023 HEDIS Data Collection, Care Coordination Portal, Medicare PA Guide and PA Forms, New Century/ProgenyHealth, Changes to Provider Manual  April 2023 
Provider Quality Bulletin: Child Dental and Well-Care Visits, Adult Access to Preventive Health Services, Mid-Ohio Farmacy Program, Medicaid Renewal Information, PRAF vs. ROP, Follow-up After Hospitalization for Mental Illness HEDIS Measurement Information March 2023
Provider Bulletin - Special Edition: Cultural Competency March 2023

Provider Bulletin: Next Gen Medicaid Program, Important Information Regarding the Resumption of Medicaid Renewals, Ordering, Referring, and Prescribing Providers NPI, Changes to PA Requirements, Provider Demographic Information: Fax Number for Dispute Resolution, Availity: Overpayments Process, 2023 HEDIS Data Collection, Molina Quality Living Program Awardees, Behavioral Health Codes: H2020, H0038, and H0048, Molina Legacy Provider Portal Sunsetting, Partnership with Avalon for Laboratory Benefit Management, It Matters to Molina Corner, You Matter to Molina: Video Series for Members, Provider Training Sessions, Weight Watchers, UPDL 30 Day Change Notice, Emailing PHI Securely, Americans with Disabilities Act, Care Coordination Portal, Molina of Ohio Clinical Policies, Medicare PA Guide and PA Forms, Authorization Appeal New Century Health or ProgenyHealth, PASRR Process for Nursing Facilities, Changes to the Provider Manual

 March 2023
Provider Bulletin - Special Edition: Next Generation Medicaid Program 2/1 Go Live, Medicaid Paper Claims, Provider Access to the Molina Care Coordination Portal through Availity Essentials Portal, New Provider Claim Disputes Process, Provider Network Management Module and MITS Maintenance Downtime February 2023
Provider Bulletin: Changes to Provider Manuals, Molina of Ohio Clinical Policies, Marketplace Hospice Claims, Care Coordination Portal, PASRR Process for Nursing Facilities, Reminder: Rendering Provider on Professional Claims Submissions, Partnership with Avalon for Laboratory Benefit Management, Claims Hold on Prospective Payment System, Auth Reconsiderations New Century Health or ProgenyHealth, Next Gen Medicaid Dec 1 Launch Delay, Molina Legacy Provider Portal SunSetting, "It Matters to Molina" Corner, You Matter to Molina: Online Resources, Next Gen Ohio Medicaid Feb 1 Launch Resources, Fighting Fraud, Waste and Abuse, Provider Training Sessions, Website Roundup, Medicare PA Guide and PA Forms, ProviderNet SunSetting, Columbus Measles Outbreak, PsychHub Information, Drugs Carved Out: Fee-for-service, Explanation of Payment Refund Reporting, Provider Contract for Next Gen Medicaid, Notice of Changes to PA Requirements February 2023
Provider Bulletin: New Claim Disputes Process, Dec 1 Deadline for Annual MOC Training, Rendering Provider Claim Submissions, Partnership with Avalon Healthcare for Laboratory Benefit Management, Claims Hold on Prospective Payment system, Authorization Reconsiderations New Century Health or ProgenyHealth, Drugs Carved Out: Fee-for-Service, Columbus Measles Outbreak, BH: Other Licensed Professionals, Next Gen Medicaid December 1 Launch Delay, ProviderNet Sunsetting, Molina Legacy Provider Portal Sunsetting, Claim Submission: Electronic and Paper, It Matters to Molina Corner, You Matter to Molina: Provider Contracting Team, Next Gen Program Feb 1 Launch Resources, 2022-2023 Open Enrollment, Provider Training Sessions, MCG Auto-Authorization, Behavioral Health Provider Manual, Oxygen Rental Only Codes, Q4 Provider Newsletter, PsychHub Information on Provider Website, COVID-19 (Coronavirus) Codes, Molina Help Finder, Explanation of Payment Refund Reporting, Provider Contract for Next Gen, Tips for Preparing Patients for Telehealth Visits, Changes to PA Requirements, Changes to the Provider Manual, Next Gen Medicaid: PNM, SPBM, and OH|ID January 2023 
2022 Month
Provider Bulletin - Special Edition: Q1 2023 PA Code List Update  December 2022 
Provider Bulletin: Next Gen Medicaid December 1 Launch Delay, Updated: Changes to PA Requirements, Updated: Changes to the Combined Provider Manual, Molina Legacy Provider Portal Sunsetting, ProviderNet Sunsetting, Explanation of Payment Refunding Reporting, Healthmap Solutions, Molina Help Finder, Reminder: Claim Submission: Electronic and Paper, It Matters to Molina Corner, Reminder: Next Gen Medicaid: PNM, SPBM, and OH|ID, Unified Preferred Drug List: 30-Day Change Notice, Provider Payment and Bank Information, Annual Mandatory Model of Care Training, Updated: 2022-2023 Open Enrollment, Provider Training Sessions, Updated: COVID-19 Codes, PNM Requirement for EVV System, EVV Training, Claim Reconsideration Status Now Live on the Availity Portal, Provider Contract for Next Gen Medicaid, Tips for Preparing Patients for Telehealth Visits, PsychHub Information on Provider Website December 2022 
Provider Quality Bulletin: Mid-Ohio Farmacy Program, Annual Dental and Well-Care Visits, Important Facts about the Prenatal Risk Assessment Form (PRAF), Improved Access to Mental Health Care Through OhioRISE, Pre-paid DSME Slots, Community-Based Organization (CBO) Collaboration December 2022 
Provider Bulletin: Next Generation Medicaid: PNM, SPBM, and OH|ID, 2022/2023 Flu Season Recommendations, Tips for Preparing Patients for Telehealth Visits, Claim Submission: Electronic and Paper, EVV Training, EVV Visit Updates, Evaluation and Management Services Billed with Rev. Code 0761, Shortened Benefit Year: Next Gen Medicaid Program, BH Provider Manual, PsychHub Information on Provider Website, ODM BH Limits, Audits, and Edits, Psychological and Neuropsych Testing PA Code List, BH Code Edit Requirements, Updated: COVID-19 Codes, Updated: Claims Processing Update: Modifiers, It Matters to Molina Corner, You Matter to Molina: Get to Know Your Provider Representatives, 2022-2023 Open Enrollment, Provider Training Sessions, Changes to PA Requirements, Changes to the Provider Manual, How to Compress Files, Access Standards, Corrected Claims Process, Claim Reconsideration Process, Updated: OhioRISE Information, Claim Reconsideration Status Now Live on the Availity Portal, Reminder: Sterilization, Hysterectomy, and Abortion Consent Forms, Reminder: Maternal and Infant Support Program (MISP), SUD Residential Treatment Notification of Admission Form, Provider Contract for Next Gen Medicaid, Annual Mandatory Model of Care Training, Health Care Education: Outcomes for People with Disabilities November 2022 
Provider Bulletin: Changes to the Provider Manual, Do You Have Your OH ID, PNM and OH ID Top 5 Things You Need to Know, Next Gen Medicaid Program Updates and Trainings, Maternal and Infant Support Program (MISP), Claims Processing Update: Modifiers, Paper Claim Submission, Sterilization, Hysterectomy, and Abortion Consent Forms, It Matters to Molina Corner, You Matter to Molina: Get to Know Your Provider Representatives, Molina Quality Living Program Awardees, Updated Monkeypox Vaccine Codes, Screening Mammography Update, Change Healthcare Settlement Advocate Migration with ECHO Health Inc., Provider Training Sessions, Changes to PA Requirements, Respiratory Syncytial Virus Season, Claim Reconsideration Status Live on Availity Portal, Chiropractic Services Benefit Year, MCG Auto-Authorization, Annual Mandatory Cultural Competency Training, Americans with Disabilities Act, Q3 Provider Newsletter, American Academy of Pediatrics Foundation Luncheon, OhioRISE Information, SUD Residential Treatment Notification of Admission Form, LTSS Respite Services for Children, Provider Contract for Next Gen Medicaid, Annual Mandatory Model of Care Training, Health Care Education: Improved Outcomes for People with Disabilities October 2022 
Provider Quality Bulletin: Completed PRAF is a Win-Win for the Provider and Member, Annual Dental and Well-Care Visits for School-Age Children Initiative, All-MCP Improvement Initiative: DSME and CGM Intervention Testing September 2022 
Provider Bulletin – Special Edition: Change Healthcare and ECHO Health update  September 2022 
Provider Bulletin – PNM and OH|ID: Top 5 Things, Next Gen Updates and Training, Monkeypox Vaccine Codes, Value Code 80, 81, and 74, Screening Mammography Update, Molina Clinical Policies, UPDL: 30-Day Change Notice, Molina Prepayment Claim Reviews, Update: Change Healthcare, SUD Residential Treatment Form, Changes to PA Code List, OhioRISE Information, Updated: COVID-19 Codes, It Matters to Molina Corner, You Matter to Molina: PS Reps, Provider Training Sessions, Website Roundup, MCG Auto-Authorization, Changes to Provider Manual, LTSS Respite Services for Children, Provider Contract Next Generation, External Wheelchair Assessment, Genetic Testing Update, Readmission Payment Policies, Institution for Mental Disease Stays, Annual Model of Care, Medicare PA Guide and Form, Health Care Education, Clinical Services – Adv. Imaging, DSME for Medicaid September 2022 
Provider Bulletin – Special Edition: OhioRISE Implementation August 2022 
Provider Bulletin – Special Edition: Change Healthcare and ECHO Health August 2022 
Provider Bulletin – Special Edition: Update: Change Healthcare Outage August 2022 
Provider Bulletin – OhioRISE Information, Upcoming MITS Freeze, Molina Provider Bulletin Update, Requirements for Type of Bills, Provider Hours Requirement, External Wheelchair Assessment, Sandata EVV Member Validation, LTSS Respite Services for Children, Quality Living Program Awardees, Marketplace Notice of Reg. Updates, Website Roundup, Genetic Testing Update, Updated: COVID-19 Codes, It Matters to Molina Corner, You Matter to Molina: PS Reps, Provider Training Sessions, Changes to Provider Manual, Clinical Services – Adv. Imaging, Changes to PA Code List, Provider Contract Next Generation, Readmission Payment Policies, Institution for Mental Disease Stays, Roster: Affiliations with Practitioners, MCG Auto-Authorization, Annual Model of Care, Home Health Prior Authorization, Medicare PA Guide and Form, Health Care Education, DSME for Medicaid  August 2022
Provider Bulletin – Special Edition: Change Healthcare ProviderNet July 2022 
Provider Bulletin – Special Edition: Next Generation Stage 2 Training July 2022 
Provider Bulletin – It Matters to Molina Corner, Update Affiliations with Practitioners, Clinical Services – Adv. Imaging, Medicare PA Guide and Form, Readmission Payment Policies, Institution for Mental Disease Stays, Balance Billing, Itemized Statement Requirements, COVID-19 New Code, Updated: MCG Auto-Authorization, DSME for Medicaid, Partial Hospital & SUD Update, Home Health Prior Authorization, Expansion of Telehealth Services, You Matter to Molina: PS Reps, Immunizations Temporary Policy, Provider Training Sessions, Changes to Provider Manual, Changes to PA Code List, Next Generation Medicaid Update, UPDL: 30-Day Change Notice, Provider Contract Next Generation, Annual Model of Care, Q2 Provider Newsletter, Remind Patients about Healthchek, Psychological/Neuropsych Testing, PsychHub Information, Chiropractic Services Expansion, Member Contact Information, Health Care Education, Sequestration Reduction  July 2022 
Provider Bulletin – Special Edition Behavioral Health: Ohio CANS Information Technology System, Update on Coordination of Benefits, Reminder for BH Billing Agencies to Update Affiliations with their Practitioners, Notice of Changes to Prior Authorization Requirements, Prolonged Service Codes: 99354 and 99355, Ordering, Referring, and Prescribing Providers NPI, BH Centralized Fax Numbers, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, PsychHub on the Molina Provider Website, BH Provider Manual, Provider Enrollment in MITS, Changing a Remittance Address, Changing a Service Location Address, Non-Contracted BH Providers, Update to Definitive UDS Counts, BH Cash Advance Repayments, BH Limits, Audits, and Edits June 2022 
Provider Bulletin - Special Edition: Next Generation Medicaid Program: OhioRISE Implementation Quick Reference Guide June 2022 
Provider Quality Bulletin: Diabetes Quality Improvement Collaborative Projects CGM and DSME, Metabolic Monitoring for Children and Adolescents on Antipsychotics (APM) Initiative, COVID-19 Vaccinations June 2022 
Provider Bulletin - Special Edition: Model of Care Training  June 2022 
Provider Bulletin - Special Edition: FQHC & RHC Coverage, Q3 PA Code List Update, Provider Training Opportunities  June 2022 
Provider Bulletin - It Matters to Molina Corner, Changes to PA Code List, Psychological/Neuropsych Testing, UPDL: 30-Day Change Notice, OhioRISE Fundamentals Webinar, Next Generation Medicaid Update, Coverage Changes FQHC & RHC, Partial Hospital & SUD Update, Home Health Prior Authorization, HCIC Notice of Program End Date, Counseling Codes 99401 & 99402, Reminder: BH Code Edits, PsychHub Information, Chiropractic Services Expansion, Expansion of Telehealth Services, You Matter to Molina: PS Reps, Provider Training Sessions, Changes to Provider Manual, Website Roundup, Provider Contract Next Generation, Member Contact Information, New Century Health, Updated: MCG Auto-Authorization, Availity Info on Provider Website, Maternal and Infant Support, Health Care Education, Sequestration Reduction  June 2022 
Provider Bulletin - It Matters to Molina Corner, Next Generation Medicaid Update, Maternal and Infant Support, COVID-19 Vaccine Counseling, COVID-19 Vaccination Booster, Consent Form Requirements, Coverage of Apo-Varenicline, New Century Health, ODM Training Opportunities, You Matter to Molina: PS Reps, Updated: MCG Auto-Authorization, Medicaid ID for EVV, Provider Training Sessions, Changes to Provider Manual, Changes to PA Code List, Website Roundup, Provider Contract Next Generation, Availity Info on Provider Website, Medicare Home Health PA Fax, Health Care Education, Sequestration Reduction, COVID-19 Test Kits   May 2022
Provider Bulletin - Special Edition: ARPA COVID-19 Provider Relief Funds  April 2022 
Provider Bulletin - Special Edition: Post-Acute Authorization Requirements Update   April 2022 
Provider Bulletin - Special Edition: Home Health PA Fax Number and EVV Webinar  April 2022 
Provider Bulletin: It Matters to Molina Corner, Changes to the Provider Manual, Unified Preferred Drug List 30 Day Change Notice, Coverage of Apo-Varenicline, New Century Health, Clinical Policy Website, OhioRISE Training Opportunities, You Matter to Molina: Get to Know Your Provider Representatives, Revenue Codes Billing Update, Availity Information on Provider Website, Medicaid ID Number for EVV, SMC Update for Sandata EVV, Updated: MCG Auto-Authorization, Molina Quality Living Program Awardees, 2022 HEDIS Data Collection, Provider Training Sessions, Changes to PA Requirements, Did You Know: Pacify, Updated PA Guide, Provider Contract for Next Generation Medicaid, Ownership and Control Disclosure Form Requirements, American Academy of Pediatrics Spring Education Meeting, Molina of Ohio Check Runs, Improved Outcomes for People with Disabilities, Updated Sequestration Suspension and Reduction, Outpatient Therapy Services Reminder, COVID-19 Home and Point-of-Care Testing  April 2022 
Provider Bulletin - Special Edition: Cultural Competency  March 2022 
Provider Bulletin - Special Edition: New Century Health, PA Code List  March 2022 
Provider Bulletin: It Matters to Molina Corner, MCG Auto-Authorization, UPDL: 30-Day Change Notice, Next Generation Medicaid, Outpatient Therapy Service, DSME Education for Medicaid, You Matter to Molina: PS Reps, MolinaCares Accord Webinar, 2022 HEDIS® Data Collection, MyChoice Debit Cards, COVID-19 Pfizer Codes, COVID-19 Test Kits, Provider Training Sessions, Changes to Provider Manual, Did You Know: Text4baby, Website Roundup, Q1 Provider Newsletter, Emailing PHI Securely, AAP Spring Education Meeting, Health Care Education, Sequestration Reduction, Implicit Bias & Maternal Health, Americans with Disabilities Act  March 2022
Provider Bulletin - Special Edition Behavioral Health: Notice of Changes to Prior Authorization Requirements, Prolonged Service Codes: 99354 and 99355, Ordering, Referring, and Prescribing Providers NPI, Behavioral Health Centralized Fax Numbers, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, PsychHub on the Molina Provider Website, Behavioral Health Provider Manual, Provider Enrollment in MITS, Non-Contracted BH Providers. Update to Definitive UDS Counts, Changing a Remittance Address, Changing a Service Location Address, BH Cash Advance Repayments, BH Limits, Audits and Edits  February 2022 
Provider Bulletin - Special Edition: Post-Acute Authorization Requirements  February 2022 
Provider Bulletin: It Matters to Molina Corner, Prior Authorization Changes, 2022 HEDIS Data Collection, COVID-19 Home and Point-of-Care Testing, Health Care Education: Improved Outcomes for People with Disabilities, You Matter to Molina: Get to Know Your Provider Representatives, Updated: Claims Hold on Prospective Payment System, Molina Quality Living Program Awardees, 2021: A Year in Review, Provider Training Sessions, Provider Manual Changes, Legacy Provider Portal, Ordering, Referring, and Prescribing Providers NPI, Updated Sequestration Suspension and Reduction, Managing Implicit Bias and Maternal Health Training February 2022
Provider Bulletin - Special Edition: ProgenyHealth Partnership for NICU UM and CM, Updated: Post-Acute Authorization Requirements, COVID-19: Vaccination Program for 2022 January 2022
Provider Bulletin - Special Edition: Check Printing Error January 2022
Provider Bulletin: It Matters to Molina Corner, Claims Hold on Prospective Payment System, Updated Sequestration Suspension and Reduction, COVID-19 Vaccine Updates, Legacy Provider Portal, 2022 Provider Manuals, ProgenyHealth Partnership for NICU UM and CM, Modifier Requirements for HCPCS H0020, Behavioral Health Provider Manual, Post-Acute Authorization Requirements, Updated: Ordering, Referring, and Prescribing Providers NPI, Managing Implicit Bias and Maternal Health Training, Provider Training Sessions, Changes to PA Requirements, Update to Definitive UDS Counts, Hospice Claims Value Codes, Evaluation and Management Services Billed with Rev. Code 0761, Availity Provider Secure Messaging, Reminder: EVV Providers January 2022
2021 Month
Provider Bulletin - Special Edition: Potential Delay in Member ID Card Distribution December 2021
Provider Quality Bulletin: Chronic Conditions, Molina My Health Program, Behavioral Health, Member’s Obstetric and Gynecological Health December 2021
Provider Bulletin: It Matters to Molina Corner, Secure Messaging in Availity, Changes to Provider Manual, Changes to PA Code List, Payment for PAs and APNs, Post-Acute Authorization Requirements, Advance Directives, E&M Services with Code 0761, Hospice Claims Value Codes, Update to Definitive UDS Count, Home Health PDGM FAQ, Updated ORP Provider NPI, Model of Care Training, Cultural Competency Training, Update COVID-19: Vaccine Administration Rate for Additional Dose, Provider Training Sessions, Website Roundup, Corrected claims Process, Claim Reconsideration Process, Access Standards, Q4 Provider Newsletter, Reminder: EVV Providers, Americans with Disabilities Act, Ownership and Control Form, Implicit Bias & Maternal Health, 2021 Open Enrollment December 2021
Provider Bulletin: It Matters to Molina Corner, COVID-19: Vaccine Administration Rate for Additional Dose, Changes to the Provider Manual, 2021 Open Enrollment, Reminder: Medicaid Enrollment Requirements, Electronic PRAF Modifier Update, Updated: Ordering, Referring and Prescribing Providers NPI, Molina Quality Living Program Awardees, Molina Clinical Practice and Preventive Health Guidelines, Annual Mandatory Medicare Model of Care Training, Provider Training Sessions, Website Roundup, Changes to PA Requirements, Disabling Electronic Visit Verification (EVV) Exception, Data Accuracy for Electronic Visit Verification (EVV) Providers, Managing Implicit Bias and Maternal Health Training, Value Code 80 & 81: Missing/ Invalid Covered Days, Submitting Professional Claims When the Billed Amount Exceeds $99,999.99, Managed Care Plan Consolidated Resources, Diabetes Self-Management Education for Medicaid November 2021
Provider Bulletin - Special Edition: Inpatient Claims Hold October 2021
Provider Bulletin: It Matters to Molina Corner, Reminder: Medicaid Enrollment Requirements, Updated: Ordering, Referring and Prescribing Providers NPI, Changes to the Provider Manual, New Provider Online Directory, Managing Implicit Bias and Maternal Health Training, 2021/2022 Flu Season Recommendations, MCP Consolidated Resources, Data Accuracy for EVV Providers, LTSS Bi-Annual Audit, Medicare Model of Care Training, Diabetes Self-Management Education for Medicaid, Provider Training Sessions, Changes to PA Requirements, Updated: SUD PA Request Form, Q3 Provider Newsletter, Nursing Facility Request Form Instructions, Nursing Facility Ventilator Rates, COVID-19 Vaccine Billing Guide, Value Code 80 & 81: Missing/Invalid Covered Days, BH Centralized Fax Number, Claims Exceeding $99,999.99, Drug Waste Codes Billed with Modifier JW, EVV Updates  October 2021
Provider Quality Bulletin: Chronic Conditions: Diabetes Management, Wellness: COVID-19 Vaccinations and Childhood Immunizations, Women's Health: Effective Cancer Prevention Messaging During the Pandemic September 2021
Provider Bulletin - Special Edition: COVID-19 (Coronavirus) Prior Authorization Update September 2021
Provider Bulletin: It Matters to Molina Corner, Updated: Medicaid Enrollment Requirements Provider Bulletin, Notice of Changes to Prior Authorization (PA) Requirements, Prior Authorization Request Form Updated, Respiratory Syncytial Virus Season, Nursing Facility Ventilator Rates, Change in Process for Alternative EVV Certification, Molina Transitioning Away from eviCore, Annual Mandatory Medicare Model of Care Training, Submitting Professional Claims When the Billed Amount Exceeds $99,999.99, MCG Health: Cite for Care Guideline Transparency, Diabetes Self-Management Education for Medicaid, Diagnosis Related Group (DRG) Validation, Provider Training Sessions, Notice of Changes to the Provider Manual, Website Roundup, Managed Care Nursing Facility Request Form Instructions, COVID-19 Vaccine Billing Guidelines, Drug Waste Codes Billed with Modifier JW, Balance Billing, Remind Patients about Healthchek, Value Code 80 & 81: Missing/Invalid Covered Days, Behavioral Health Centralized Fax Number, SUD Services PA Request Form, Ordering, Referring and Prescribing Providers NPI, EVV Updates September 2021
Provider Bulletin - Special Edition: Update: COVID-19 Vaccination Member and Provider Incentive - 2nd Notification August 2021
Provider Bulletin - Special Edition: Electronic Visit Verification Training Opportunities August 2021
Provider Bulletin - Special Edition: Update: Nursing Facility Rates Delayed August 2021
Provider Bulletin - Special Edition: Update: COVID-19 Vaccination Member and Provider Incentives August 2021
Provider Bulletin - Special Edition Behavioral Health: Behavioral Health Centralized Fax Number, Claim Reconsiderations, SUD Services PA Request Form, Billing Code Added for Pregnancy Report, Prolonged Service Codes: 99354 and 99355, Prolonged Services Codes: 99417 and G2212, PsychHub on the Molina Provider Website, Reminder: Behavioral Health Limits, Audits and Edits, Top Denials, Behavioral Health Provider Manual, Non-Contracted Behavioral Health Providers, Provider Enrollment in MITS, Changing a Remittance Address, Changing a Service Location Address, Urine Drug Screening, BH Cash Advance Repayments August 2021
Provider Bulletin: It Matters to Molina Corner, Medicaid Enrollment Requirements Provider Bulletin, Drug Waste Codes Billed with Modifier JW, MCG Health: Cite for Care Guideline Transparency, Speech Generating Device Requests, Diabetes Self-Management Education for Medicaid, DMEPOS Changes, Notice of Changes to Prior Authorization (PA) Requirements, Molina Transitioning away from eviCore, You Matter to Molina: Reference Guide for Supporting Documentation for Claims, Molina Quality Living Program Awardees, Diagnosis Related Group (DRG) Validation, Provider Training Sessions, Notice of Changes to the Provider Manual, Website Roundup, Sandata Mobile App Update, Behavioral Health Centralized Fax Number, SUD Services PA Request Form, Ohio Department of Medicaid Website Update, Molina Provider Portal Moving to Availity, Molina Peer-to-Peer on Interactive Voice Response, Ordering, Referring and Prescribing Providers NPI, EVV Updates and Training August 2021
Provider Bulletin - Special Edition: Claim Denials for No Medicaid Enrollment - Groups and Individuals July 2021
Provider Bulletin - Special Edition: Nursing Facility Rates Delayed July 2021
Provider Bulletin - Special Edition: COVID-19: Vaccines Administered in the Member's Home, COVID-19: Home Infusion Services and Monoclonal Antibody Treatments July 2021
Provider Bulletin - Special Edition: COVID-19: FQHC, QFPP and RHC Vaccine Administration Fee Increase July 2021
Provider Bulletin: It Matters to Molina Corner, Transitioning Away from eviCore, Molina Provider Online Directory, Peer-to-Peer IVR, Provider Portal Moving to Availity, Prepayment Claim Reviews, ORP Provider NPI, You Matter to Molina, Provider Training Sessions, Changes to PA Code List, Changes to Provider Manual, Provider Newsletter, Itemized Statement Requirements, Molina of Ohio Check Runs, EVV New Ticketing Portal July 2021
Provider Bulletin - Special Edition: Provider Portal Moving to Availity, Molina Provider Bulletin June 2021
Provider Bulletin - Special Edition: COVID-19 Vaccine Administration Fee Increase June 2021
Provider Quality Bulletin: Behavioral Health: May is Mental Health Awareness Month, Wellness: 30-Day Readmission Policy Update Reminder & Focus, Women's Health: Report of Pregnancy Form, COVID-19 Vaccinations June 2021
Provider Bulletin: It Matters to Molina Corner, Prepayment Claim Reviews, Changes to PA Code List, Changes to Provider Manual, ORP Provider NPI, Transitioning Away from eviCore, Marketplace Fax Number Update, Medicare Fax Number Update, Provider Training, EVV New Ticketing Portal, Website Roundup, Did You Know, Provider Network Module Portal, Prescriptions for Insect Repellent, CAHPS Provider Tip Sheet, Provider Termination Requirement, Diabetes and Hypertension Care, COVID-19 Updates June 2021
Provider Bulletin – Special Edition: Online Resources, Training and Guidance, The Provider Portal, The Provider Website, Turnaround Times for Claims and Member Appeals, The Provider Online Directory, Provider Training Opportunities, How to Join WebEx, Marketplace Authorization Fax Number Updates, Medicare Authorization Fax Number Update May 2021
Provider Bulletin – Special Edition: Annual Mandatory D-SNP Medicare Model of Care Training May 2021
Provider Bulletin: It Matters to Molina Corner, Attention: Behavioral Health Providers PsychHub on the Molina Provider Website, Attention: Ohio Comprehensive Primary Care (CPC) Providers, Provider Termination Prior Notice Requirements, CAHPS Provider Tip Sheet, Provider Network Module (PNM) Portal, Billing Information for Non-Dental Eligible Providers, Availity Portal Training, Ownership and Control Disclosure Form Requirements, COVID-19 (Coronavirus) Updates, Provider Training Sessions, Website Roundup, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Marketplace Authorization Fax Number Updates, Medicare Authorization Fax Number Update, Centralized Credentialing, Americans with Disabilities Act, Quick Reference Guide: Diabetes and Hypertension Care May 2021
Provider Bulletin – Special Edition: LTSS Authorization Process Update, ODM COVID-19 (Coronavirus) Billing Guidelines, Overpayment and Incorrect Payments Refund Requests, Electronic Visit Verification: New Zendesk Ticketing Portal, Electronic Visit Verification: Training Opportunities, Billing Hospice Services on a CMS 1500 Form, Update: Molina Hospice HCIC and Vent/Vent Weaning Billing Guidelines, Marketplace Authorization Fax Number Updates April 2021
Provider Bulletin – Special Edition: Update to the CMS Announcement: Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension April 2021
Provider Bulletin – Special Edition: CMS Webinar Announcement: Information, Data and Tools to Support COVID-19 Vaccine Acceptance in Underserved Communities April 2021
Provider Bulletin – Special Edition: CMS Announcement: Temporary Claims Hold Pending Congressional Action to Extend 2% Sequester Reduction Suspension April 2021
Provider Bulletin: It Matters to Molina Corner, Provider Network Module (PNM) Portal, Centralized Credentialing, Molina Quality Living Awardees, Itemized Statement Requirements, Behavioral Health (BH) Treatment Insights and Provider Support, Quick Reference Guide: Diabetes and Hypertension Care, Marketplace Authorization Fax Number Updates, 2021 HEDIS Data Collection, Availity Portal Training, Website Roundup, Provider Training Sessions, Notice of Changes to PA Requirements, Notice of Changes to the Provider Manual, Did You Know?, Provider Newsletter, Access Your Molina Member Roster, Payment for Vaccines Furnished by FQHC or RHC, LabCorp COVID-19 Testing, COVID-19 (Coronavirus) Updates April 2021
Provider Bulletin – Special Edition: Cultural Competency, Cultural Competency Training Confirmation 2021 March 2021
Provider Bulletin – Special Edition: Prior Authorization Update, Molina Hospice Health Care Isolation Center (HCIC) and Vent/Vent Weaning Billing Guidelines, COVID-19 Vaccine Updates, Behavioral Health Coding Update March 2021
Provider Quality Bulletin: Women's Health, Behavioral Health, Behavioral Health Treatment Insights and Provider Support (BH-TIPS), Healthy Children, Chronic Conditions March 2021
Provider Bulletin: It Matters to Molina Corner, Overpayment and Incorrect Payments Refund Requests, Availity Portal Training, Payment for Vaccines Furnished by FQHC or RHC, Emailing PHI Securely, Provider Services Contact Page on Provider Website, 2021 HEDIS Data Collection, How to Access Your Molina Member Roster, Sign Up to Receive the Provider Bulletin via Email, Routine Hospice Reimbursement Methodology Update, Update: Molina Partnering with MCG Health, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did You Know?, Pharmacists as Providers, LabCorp COVID-19 Testing, COVID-19 (Coronavirus) Updates, PsychHub on Provider Website March 2021
Provider Bulletin – Special Edition: Prior Authorization (PA) Code List Update, You Matter to Molina February 2021
Provider Bulletin – Special Edition: Electronic Visit Verification Training Opportunities February 2021
Provider Bulletin – Special Edition: COVID-19 (Coronavirus) Vaccine February 2021
Provider Bulletin – Special Edition Behavioral Health: Prolonged Services Codes, Urine Drug Screening, Changing a Remittance Address, Changing a Service Location Address, Reminder: Behavioral Health Limits, Audits and Edits, Top Denials, Claim Reconsideration, Non-Contracted Behavioral Health Providers, Provider Enrollment in MITS, BH Cash Advance Repayments February 2021
Provider Bulletin: It Matters to Molina Corner, Routine Hospice Reimbursement Methodology Update, Pharmacists as Providers, Notice of Changes to Prior Authorization (PA) Requirements, You Matter to Molina, March Vision Update, Updated: Value Code 80 & 81: Missing/Invalid Covered Days, Molina Partnering with MCG Health, PsychHub on the Molina Provider Website, Website Roundup, Provider Training Sessions, Notice of Changes to the Provider Manual, Did You Know?, Readmission Policy Update, Hospice Services to Require PA, Changes to Drug Test Codes, 2021 Updates to Patient Driven Grouping Model (PDGM), LabCorp COVID-19 Testing, COVID-19 (Coronavirus) Updates, Active Medicaid ID Number and National Provider Identifier (NPI) February 2021
Provider Bulletin – Special Edition: Year in Review January 2021
Provider Bulletin – Special Edition: Notice of Changes to February 1, 2021 Prior Authorization (PA) Requirements January 2021
Provider Bulletin: It Matters to Molina Corner, Molina Partnering with MCG Health, 2021 Updates to Patient Driven Grouping Model (PDGM), State Reimbursement for HVAC Upgrades, PsychHub on the Molina Provider Website, Post-Acute Prior Authorization Update, Transportation Needs: Groceries, Active Medicaid ID Number and National Provider Identification (NPI), Medicare Part B - J Code Prior Authorizations, You Matter to Molina!, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, 30-Day Readmission Policy Update, Hospice Services to Require PA, Changes to Drug Test Codes, LabCorp COVID-19 Testing, Electronic Visit Verification (EVV), COVID-19 (Coronavirus) Updates January 2021
2020 Month
Provider Bulletin – Special Edition: Notice of Changes to February 1, 2021 Prior Authorization (PA) Requirements December 2020
Provider Bulletin – Special Edition: PsychHub on the Molina Provider Website, Introduction to PsychHub December 2020
Provider Bulletin – Special Edition: CMS Guidance for the COVID-19 Vaccine December 2020
Provider Bulletin – Special Edition: Telehealth Place of Service (POS) 02 and GT Modifier, 2021 Provider Manual Annual Update: Significant Updates by Section/Chapter December 2020
Provider Bulletin: Telehealth Place of Service (POS) 02, Post-Acute Prior Authorization Update, 30-Day Readmission Policy Update, Notice of Changes to Prior Authorization (PA) Requirements, Updated Medicaid Drug Formulary, Medicare Part B - J Code Prior Authorizations, Changes to Drug Test Codes, Hospice Services to Require PA, Reminder: eviCore PA Requests and Process, Transportation Needs: Groceries, It Matters to Molina Corner, You Matter to Molina!, Value Code 80 & 81: Missing/Invalid Covered Days, Cost Coverage Rate Increase for Hospitals, How to Join WebEx, Website Roundup, Provider Training Sessions, Notice of Changes to the Provider Manual, Did You Know?, Dialysis Treatment Update, Required Annual Trainings, LabCorp COVID-19 Testing, Active Medicaid ID Number and National Provider Identifier (NPI), Provider Portal Moving to Availity, Electronic Visit Verification (EVV), COVID-19 (Coronavirus) Updates, Pain Management December 2020
Provider Bulletin – Special Edition: Medicaid and MMP Medicaid PA Code List Updates for H0012, H2012 and H2020 November 2020
Provider Bulletin – Special Edition: Prenatal Risk Assessment Form (PRAF) November 2020
Provider Bulletin – Special Edition: Availity Training Sessions November 2020
Provider Bulletin: It Matters to Molina Corner, 2020/2021 Flu Season Recommendations, Provider Satisfaction Survey, Annual Mandatory Medicare Model of Care Training, Update: Prior Authorization Lookup Tool, Update: LabCorp COVID-19, Electronic Visit Verification Remittance N363, VaxCare Solutions Now in Network, Active Medicaid ID Number and National Provider Identifier (NPI), Annual Mandatory Cultural Competency Training, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Provider Portal Moving to Availity, Changes for Non-Contracted Behavioral Health Providers, EVV Phase 3, COVID-19 (Coronavirus) Updates, Use of ASAM Criteria for SUD Treatment in Hospitals, Obstetrics (OB) Update November 2020
Provider Quality Bulletin: Childhood Immunizations, Influenza (Flu), Behavioral Health, A Word From the Institute for Healthcare Improvement (IHI), Women's Health October 2020
Provider Bulletin – Special Edition: Tips for Submitting Pain Management Injection Requests October 2020
Provider Bulletin – Special Edition: Cares Act – Coronavirus Relief Fund Provider Relief Payments October 2020
Provider Bulletin – Special Edition Behavioral Health: Reminder: Behavioral Health Limits, Audits and Edits, Non-Contracted Behavioral Health Providers, Top Denials, Provider Training Sessions, Changing a Service Location Address, Changing a Remittance Address, COVID-19 Updates, How to Join WebEx, Behavioral Health Provider Manual, Claim Reconsideration, Provider Enrollment in MITS, BH Cash Advance Repayments October 2020
Provider Bulletin – Special Edition: State of Emergency Provider Guide Statement on Telehealth October 2020
Provider Bulletin: It Matters to Molina Corner, Provider Satisfaction Survey, LabCorp COVID-19 Updates, Provider Portal Moving to Availity, VaxCare Solutions Now in Network, Active Medicaid ID Number and National Provider Identifier (NPI), Remind Patients about Healthchek, Obstetrics (OB) Update, Molina Quality Living Program Awardees, Use of ASAM Criteria® for SUD Treatment in Hospitals, Annual Mandatory Cultural Competency Training, Annual Mandatory Medicare Model of Care Training, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did you know?, Update: Cologuard™ Coverage, Changes for Non-Contracted Behavioral Health Providers, Electronic Visit Verification, COVID-19 (Coronavirus) Updates, Ownership and Control Disclosure Form Requirements October 2020
Provider Bulletin – Special Edition: Hospice Services in a Nursing Facility September 2020
Provider Bulletin – Special Edition: Prior Authorization Lookup Tool on the Provider Website September 2020
Provider Bulletin – Special Edition Behavioral Health: Changes for Non-Contracted Behavioral Health Providers, Top Denials, Provider Training Sessions, Changing a Service Location Address, Changing a Remittance Address, How to Join WebEx, Behavioral Health Provider Manual, Claim Reconsideration, COVID-19 Updates, Provider Enrollment in MITS, BH Cash Advance Repayments September 2020
Provider Bulletin – Special Edition: Cultural Competency, Cultural Competency Training Confirmation 2020 September 2020
Provider Bulletin – Special Edition: Use of ASAM Criteria® for SUD Treatment in Hospitals September 2020
Provider Quality Bulletin: HEDIS® 2021 Measure Changes, Behavioral Health, Women's Health September 2020
Provider Bulletin: It Matters to Molina Corner, Electronic Visit Verification, COVID-19 (Coronavirus) Updates, Active Medicaid ID Number, Annual Mandatory Medicare Model of Care Training, Americans with Disabilities Act, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Did You Know? September 2020
Provider Bulletin – Special Edition: Free ECHO BH Sessions for Pediatric Providers August 2020
Provider Bulletin – Special Edition Behavioral Health: Training on Behavioral Health Services August 2020
Provider Bulletin – Special Edition Behavioral Health: Top Denials, Provider Training Sessions, Claim Reconsideration, Diagnosis Codes for CMHC Services, Changing a Service Location Address, Changing a Remittance Address, How to Join WebEx, Behavioral Health Provider Manual, Reminder: Claim Processing Requirements, COVID-19 Updates, CPSEs on the Provider Website, Provider Enrollment in MITS, Behavioral Health Cash Advance Repayments August 2020
Provider Bulletin: It Matters to Molina Corner, COVID-19 (Coronavirus) Updates, Molina Quality Living Program Awardees, Did You Know?, Cologuard Coverage, Home Health Updates, Annual Mandatory Medicare Model of Care Training, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, How to Join WebEx, Provider Training Sessions, Notice of Changes to Prior Authorization (PA) Requirements, Notice of Changes to the Provider Manual, Balance Billing, 30-Day Readmissions Policy Update, Ohio’s “Hard Stop” Labor Induction Rule, Notice of Medicare Non-Coverage (NOMNC) Reminder, Fighting Fraud, Waste & Abuse August 2020
Provider Bulletin – Special Edition: COVID-19: State of Emergency Updates: Essential Providers, Prior Authorizations Extension – Existing, Prior Authorizations – New Requests, Update for Inpatient/Outpatient Authorization Process Medicaid and MyCare Ohio Medicaid, Enhanced Ambulatory Patient Grouping (EAPG) Claims Processing Delay, Long-Term Services and Supports (LTSS) Toolkit, Timely Filing of Claims, Telehealth, COVID-19 Testing and Treatment, COVID-19 Laboratory Specimen Collection, Sequestration, Hospital 20% Add-on Payment, Notifying Providers of COVID-19 Positive Patients, New Free Offering for Pediatric Providers on BH Telehealth Start-up, Pharmaceuticals and Coverage, COVID-19 Resources, Molina Member COVID-19 Resources, Telehealth Code List by Line of Business July 2020
Provider Bulletin – Special Edition Behavioral Health: Diagnosis Codes for CMHC Services, Changing a Service Location Address, Claim Reconsideration, Behavioral Health Cash Advance Repayments, Changing a Remittance Address, Provider Enrollment in MITS, COVID-19 Updates, Molina CPSEs on the Provider Website, How to Join WebEx, Behavioral Health Provider Manual, Provider Training Sessions, Reminder: Claim Processing Requirements July 2020
Provider Bulletin – Special Edition: Women’s Health: Prenatal Services July 2020
Provider Bulletin – Special Edition: Provider Relief Fund: Medicaid and CHIP Provider Distribution July 2020
Provider Bulletin – Special Edition: Electronic Visit Verification (EVV) July 2020
Provider Bulletin: It Matters to Molina Corner, Notice of Changes to Prior Authorization (PA) Requirements, Updated State Fiscal Year-End Provider Payments, 30-Day Readmissions Policy Update, Home Health Updates, Evaluation and Management (E/M) Update, Obtaining a Home Blood Pressure Monitor for Members with Hypertension, COVID-19 (Coronavirus) Updates, Prior Authorization Buy and Bill Updates, Annual Mandatory Medicare Model of Training, Fighting Fraud, Waste & Abuse, How to Join WebEx, Provider Training Sessions, Notice of Changes to the Provider Manual, Provider Newsletter, Ohio’s Hard Stop Labor Induction Rule, Notice of Medicare Non-Coverage (NOMNC) Reminder, Molina Prepayment Claim Reviews, Electronic PA Requests for Pharmacy July 2020
Provider Bulletin – Special Edition: Updated Notification: Ownership and Control Disclosure Form Requirement June 2020
Provider Quality Bulletin: Behavioral Health: COVID-19 (Coronavirus) Information, Wellness Matters, Improving Your Quality Rates for Prenatal Care: Timeliness of Prenatal Care, Retinal Scanning Camera for Diabetic Eye Exams, Diabetes and COVID-19 (Coronavirus) June 2020
Provider Bulletin – Special Edition Behavioral Health: Behavioral Health Cash Advance Repayments, Changing a Remittance or Service Location Address, Changing a Service Location Address, Update: Provider Enrollment in MITS, COVID-19 Updates, Annual Mandatory Medicare Model of Care Training, Molina CPSEs on the Provider Website, How to Join WebEx, Behavioral Health Provider Manual, Provider Training Sessions, Reminder: Claim Processing Requirements June 2020
Provider Bulletin – Special Edition: Ownership and Control Disclosure Form Requirement June 2020
Provider Bulletin: It Matters to Molina Corner, COVID-19 Updates, Annual Mandatory Medicare Model of Care Training, Molina Prepayment Claim Reviews, Electronic PA Requests for Pharmacy, EVV Ticketing System, MAT Videos on Website, How to Join WebEx, Provider Training Sessions, Changes to PA Requirements, Changes to the Provider Manual, Did You Know?, Molina CPSEs on Website, PA Form June 2020
Provider Bulletin – Special Edition: Free ECHO BH Sessions for Pediatric Providers May 2020
Provider Bulletin – Special Edition: Model of Care May 2020
Provider Bulletin – Special Edition: COVID-19: State of Emergency Updates: Essential Providers, PA Extension, PA New Requests, Inpatient Authorization Process, EAPG Claims Processing Delay, LTSS Toolkit, Timely Filing of Claims, Telehealth, COVID-19 Testing and Treatment, COVID-19 Laboratory Specimen Collection, Sequestration, Hospital 20% Add-On Payment, Notifying Providers of COVID-19 Positive Patients, Free Offering for Pediatric Providers on BH Telehealth, Pharmaceuticals and Coverage, COVID-19 Resources, Molina Member COVID-19 Resources, Telehealth Code List May 2020
Provider Bulletin – Special Edition Behavioral Health: BH Cash Advance Repayments, Provider Enrollment in MITS, COVID-19 Updates, Claim Processing Requirements, MAT Videos on Provider Website, Provider Trainings, CVS Delivery Services and Refills, BH Timely Claim Submission May 2020
Provider Bulletin – Special Edition: CARES Act Banking Information Update Request May 2020
Provider Bulletin: It Matters to Molina Corner, COVID-19 Updates, Prior Authorization Form, EVV Ticketing System, Medication Reconciliation, PA Requirements: eviCore, CAHPS Survey, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, CPSEs on the Provider Website, CVS Delivery Service and Refills, Molina Nurse Advice Line May 2020
Provider Bulletin – Special Edition: COVID-19: State of Emergency April 2020
Provider Bulletin – Special Edition Behavioral Health: Testing for Provider Master File, Coronavirus: PA Extensions, Telehealth, MAT Videos on Molina Website, BH Cash Advance, Active Medicaid ID Number, BH Timely Claim Submission, Behavioral Health FAQ, BH Provider Manual Updates, Provider Trainings, CVS Delivery Services and Refills, CPSEs on the Provider Website, BH Recoupment Process, Billable Service Codes April 2020
Provider Bulletin: It Matters to Molina Corner, Coronavirus: PA Extensions, Telehealth, EVV Ticketing System, EVV Training Opportunities, Medication Reconciliation, MAT Videos on Molina Website, Quality Living Program Awardees, PA Requirements: eviCore, CAHPS® Survey, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, CPSEs on the Provider Website, CVS Delivery Service and Refills, Access Standards, Molina of Ohio Check Run, Cultural Competency Videos, 2020 HEDIS® Data Collection, Case Review via Livanta, Molina Nurse Advice Line April 2020
Provider Bulletin – Special Edition: Coronavirus: Provider Authorization Extension, CVS Delivery Service and Refills, Molina Nurse Advice Line March 2020
Provider Bulletin – Special Edition: Coronavirus Update March 2020
Provider Bulletin – Special Edition: Coronavirus and Influenza March 2020
Provider Quality Bulletin: Well Visits, CPTII Codes for HbA1c Results, Medication Reconciliation, Quality Behavioral Health: ECHO Project, Mammogram Screenings March 2020
Provider Bulletin – Special Edition Behavioral Health: BH Cash Advance March 2020
Provider Bulletin – Special Edition Behavioral Health: Testing for Provider Master File, Active Medicaid ID Number, DATA 2000 Waiver Training, Opioid Treatment Programs, Billable Service Codes, BH Timely Claim Submission, Behavioral Health FAQ, BH Provider Manual Updates, Provider Trainings, BH Recoupment Process March 2020
Provider Bulletin: It Matters to Molina Corner, Coronavirus Information, EVV Training Opportunity, PA Requirements: eviCore, CAHPS® Survey, Case Review via Livanta, 2020 HEDIS® Data Collection, Cultural & Linguistic Competency, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Americans with Disabilities Act, DATA 2000 Waiver Trainings, Reconsideration Requirements March 2020
Provider Bulletin: It Matters to Molina Corner, DATA 2000 Waiver Trainings, 2020 HEDIS® Data Collection, Quality Living Awardees, CAR T-Cell Therapy, Unified Preferred Drug List, New PA Requirements: eviCore, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, EAPG Claim Holds, PPS Claim Hold, Reconsideration Requirements February 2020
Provider Bulletin - Special Edition: eviCore Phone Number Update January 2020
Provider Bulletin: It Matters to Molina Corner, Required Annual Trainings, EAPG Claim Holds, PPS Claim Hold, Hospital Rate Updates, CAR T-Cell Therapy, Marketplace Name Updates, Unified Preferred Drug List, New PA Requirements: eviCore, Updated Prior Authorization Form, Provider Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, NOMNC Reminder, Reconsideration Requirements January 2020
Provider Bulletin - Special Edition Behavioral Health: Testing for Provider Master File, BH Recoupment Process, BH Timely Claim Submission, Billing in the Provider Portal, Provider Trainings, BH Provider Manual Updates, Active Medicaid ID Number, Billing Service Codes, Behavioral Health FAQ January 2020
2019 Month
Provider Bulletin – Special Edition: Patient Driven Grouping Model (PDGM), Home Health Billing and Payment for Molina Marketplace Members December 2019
Provider Bulletin – Special Edition: Holiday December 2019
Provider Bulletin – Special Edition Behavioral Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, Cultural Competency Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Provider Trainings, BH Provider Manual Updates, Active Medicaid ID Number, Billable Service Codes, Behavioral Health FAQ December 2019
Provider Bulletin: It Matters to Molina Corner, Unified Preferred Drug List, New Member Cards for 2020, Ownership and Control Form, Notice of NOMNC, eviCore PA Requirements, Cultural Competency Training, Model of Care Training, PA Requirements for UDS, Home Health Prior Authorizations, Provider Training, BH Claim Reconsideration Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Reconsideration Requirements December 2019
Provider Bulletin - Special Edition: eviCore November 2019
Provider Bulletin – Special Edition Behavioral Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, Cultural Competency Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Rendering Providers, Provider Portal Training, BH Provider Manual Updates, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQ November 2019
Provider Bulletin – Special Edition: Unified Preferred Drug List November 2019
Provider Bulletin – Special Edition: Medicare Therapy November 2019
Provider Bulletin: It Matters to Molina Corner, Provider Training, Billing MMP for Cost-Sharing, Healthchek Reminder, Cultural Competency Training, Model of Care Training, PA Requirements for UDS, BH Claim Reconsideration Training, Changes to PA Code List, Changes to Provider Manual, Did you know?, Medicare Inpatient Rate Updates, Anesthesia Services Modifiers, Reconsideration Requirements November 2019
Provider Bulletin – Special Edition: Nursing Facility Rates Update October 2019
Provider Bulletin – Special Edition: Cultural Competency October 2019
Provider Bulletin - Special Edition Behavior Health: Claim Reconsideration Training, BH Recoupment Process, Model of Care Training, PA Requirements for UDS, BH Timely Claim Submission, Enrollment and Credentialing, Billing in the Provider Portal, Rendering Providers, Provider Portal Training, BH Provider Manual Updates, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQ October 2019
Provider Bulletin – Special Edition: Medicare & New PA Code List October 2019
Provider Bulletin: It Matters to Molina Corner, Medicare Inpatient Rate Updates, Contact Provider Services, Anesthesia Services Modifiers, Quality Living Awardees, PA Requirements for UDS, Model of Care Training, Americans with Disabilities Act, Provider Satisfaction Survey, Reconsideration Requirements, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know? October 2019
Provider Bulletin – Special Edition: Smoking Cessation and Lead Initiatives September 2019
Provider Bulletin – Special Edition Behavioral Health: Model of Care Training, PA Requirements for UDS, BH Provider Manual Updates, BH Timely Claim Submission, Advances Recoupment Process, BH Contingency Funds, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, Rendering Providers, BH Q&A Session, Provider Portal Training, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Provider Support, Behavioral Health FAQ September 2019
Provider Bulletin – Special Edition: eviCore Update September 2019
Provider Bulletin: It Matters to Molina Corner, Model of Care Training, Sepsis Payment Policy Update, Provider Satisfaction Survey, BH Provider Manual Updates, Reconsideration Requirements, Corrected Claims for Primary EOB, Medication-Assisted Treatment, Electronic Visit Verification, Update: Drug Rebate Agreement, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know?, DUR Program September 2019
Provider Bulletin – Special Edition: Patient Driven Payment Model August 2019
Provider Bulletin – Special Edition: Outpatient Hospital Behavioral Health August 2019
Provider Bulletin – Special Edition: Pregnancy Risk Assessment Form August 2019
Provider Bulletin – Special Edition: Nursing Facility August 2019
Provider Bulletin – Special Edition: Model of Care August 2019
Provider Bulletin – Special Edition: eviCore August 2019
Provider Bulletin: It Matters to Molina Corner, Provider Satisfaction Survey, Balance Billing, Reconsideration Requirements, Provider Newsletter, Corrected Claims for Primary EOB, Medication-Assisted Treatment, Electronic Visit Verification, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Did you know?, DUR Program, Update: Drug Rebate Agreement August 2019
Provider Bulletin – Special Edition: EVV July 2019
Provider Bulletin – Special Edition: Authorization Reconsideration July 2019
Provider Bulletin – Special Edition Behavioral Health: BH Timely Claim Submission, BH Contingency Funds, BH Provider Manual Updates, BH Q&A Session, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQ July 2019
Provider Bulletin: It Matters to Molina Corner, DUR Program, CRRF Requirements, Paper Claims CRRF, Member Match Requirements, Updated Drug Formulary, Update: Drug Rebate Agreement, Quality of Living Awardees, Molina Provider Portal, Electronic Visit Verification, Provider Training, BH Q&A Sessions, Changes to PA Code List, Changes to Provider Manual, Medication-Assisted Treatment, Corrected Claims for Primary EOB, Hepatitis A Vaccine, CAQH Provider Demographic July 2019
Quality Provider Bulletin: Cervical Cancer Screenings, Submit BMI Assessments with ICD-10 Codes, Molina Team Graduates from IHI Course, Coding Tips for Pregnancy Related Services, Safety Guidelines from Ohio Minds Matter June 2019
Provider Bulletin – Special Edition: Hospice Room and Board June 2019
Provider Bulletin – Special Edition Behavioral Health: BH Contingency Funds, BH Provider Manual Updates, BH Q&A Session, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQ June 2019
Provider Bulletin: Hepatitis A Vaccine, Electronic Visit Verification, Alzheimer’s Association Training, Reconsideration Form, CAQH Provider Demographic, Multiple Procedure Payment Reduction on Advance Imaging, All-Cause Readmissions, Provider Training, BH Q&A Sessions, BH Correct Claims Training, Changes to PA Code List, Notice for IMDs, Hospital Based Clinic Visit June 2019
Provider Bulletin – Special Edition Behavioral Health: BH Provider Manual Updates, BH Q&A Session, Corrected Claims Training, Provider Portal Training, Enrollment and Credentialing, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Top Denials with Remit Codes, Opioid Education Resources, PA for New Services, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Psychological Testing Codes, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Provider Support, Behavioral Health FAQ May 2019
Provider Bulletin:CAQH Provider Demographic, Reconsideration Form Requirements, Multiple Procedure Payment Reduction on Advance Imaging, Electronic Visit Verification, Alzheimer’s Association Training, All-Cause Readmissions, Hospital Based Clinic Visit, Provider Training, Changes to PA Code List, 2019 HEDIS® Data Collection, Notice for IMDs May 2019
Provider Bulletin – Special Edition: Waiver April 2019
Provider Bulletin – Special Edition: Hepatitis A Vaccine April 2019
Provider Bulletin – Special Edition: EVV April 2019
Provider Bulletin – Special Edition: MAT April 2019
Provider Bulletin – Special Edition Behavioral Health: Enrollment and Credentialing, Corrected Claims Training, Provider Portal Training, Narcan Nasal Administration, Billing in the Provider Portal, ERA and EFT, Top Denials with Remit Codes, Opioid Education Resources, Psychological Testing Codes, PA for New Services, Provider Support, BH Redesign & Integration, Enrollment Updates, Rendering Providers, Non-Licensed Provider Status, Active Medicaid ID Number, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Behavioral Health FAQ April 2019
Provider Bulletin: All-Cause Readmissions, Notice for IMDs, 2019 HEDIS® Data Collection, Quality of Living Awareness, Hospital Based Clinical Visit, Authorization & Claim Reconsideration Process Update, Provider Demographic Updates, PA Requirements for Non-Par Providers, Provider Training, Did You Know, Changes to PA Code List, Access Standards April 2019
Quality Provider Bulletin: Molina Reimburses PCP In-Office Retinal Screenings, In-Home Blood Pressure Program, PRAF 2.0 Electronic Submission, CAVS Member Incentive Program March 2019
Provider Bulletin – Special Edition Behavioral Health: Provider Demographic Update, Narcan Nasal Administration, BH Redesign & Integration, Psychological Testing Codes, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Top Denials with Remit Codes, Active Medicaid ID Number, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQ March 2019
Provider Bulletin: 2019 HEDIS® Data Collection, Hospital Based Clinic Visit Facility Fees, MyCare Ohio Newborn Coverage, SACWIS Newborn Coverage, Authorization & Claim Reconsideration Process Update, Standard Authorization Form, Provider Demographic Updates, PA Requirements for Non-Par Providers, NDC Billing Guidelines, Changes to PA Code List, Provider Training, Americans with Disabilities Act, Cultural & Linguistic Competency, New File Size for Submissions March 2019
Provider Bulletin – Special Edition: Waiver February 2019
Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQ February 2019
Provider Bulletin: Molina Holding Claims, LARC Payment, ASD Code Updates, New File Size for Submissions, Medicaid ID, NDC Billing Guidelines, Holding Claims, Did You Know, Changes to PA Code List, Provider Training February 2019
Provider Bulletin – Special Edition: Sepsis and Septic Shock Payment Policy January 2019
Provider Bulletin – Special Edition Behavioral Health: BH Redesign & Integration, Psychological Testing Codes, Top Denials with Remit Codes, Active Medicaid ID Number, Holding Claims, New File Size for Submissions, Common Billing Errors, Provider Portal Training, Billing in the Provider Portal, ERA and EFT, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQ January 2019
Provider Bulletin: Medicaid Unified PDL, New File Size for Submissions, PA – Urgent vs. Non-Urgent, NF Ventilator Program Update, Medicaid ID, NDC Billing Guidelines, ODM BH Redesign, Did You Know, Changes to PA Code List, Provider Training, Holding Claims January 2019
2018 Month
Provider Bulletin – Special Edition: Waiver Signature Requirements December 2018
Provider Bulletin – Special Edition: Holiday December 2018
Provider Bulletin – Special Edition: Authorization & Reconsideration December 2018
Provider Bulletin – Special Edition Behavioral Health: Active Medicaid ID Number, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQ December 2018
Provider Bulletin: Medicaid ID, Preferred Drug List, Waiver Signature Requirement, Holding Claims, 2018 Open Enrollment, Medicare Reimbursement, Home Health Fax Numbers, NDC Billing Guidelines, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Molina Partners with Cavs, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy Caps December 2018
Provider Bulletin – Special Edition: COAAA November 2018
Provider Bulletin – Special Edition: COAAA Follow Up November 2018
Quality Provider Bulletin: CPT II Codes for Blood Pressure Results, November is National Diabetes Awareness Month, Prenatal Risk Assessment Form, Well Child Visits, Molina Partners with Cleveland Cavaliers on New Member Incentive Program November 2018
Provider Bulletin – Special Edition: Unified PDL November 2018
Provider Bulletin – Special Edition: Public Comment November 2018
Provider Bulletin – Special Edition Behavioral Health: BH Provider Form, 2018 Open Enrollment, Third Party Biller Functionality, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Enrollment Update, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, PA for New Services, Behavioral Health FAQ November 2018
Provider Bulletin: 2018 Open Enrollment, Medicare Reimbursement – SNF, Home Health Fax Numbers, Transportation Billing, NDC Billing Guidelines, Third Party Biller Functionality, 2018/2019 Flu Season, ODM BH Redesign, Sterilization, Hysterectomy and Abortion Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Provider Portal Poll, Skilled Therapy, Corrected Claims, Updated PIF Form, Outpatient Therapy Caps November 2018
Provider Bulletin – Special Edition Behavioral Health: Claims Payment Systematic Error, BH Provider Form, Common Billing Errors, BH Q&A WebEx Training, Provider Portal Training, Corrected Claims, Billing in the Provider Portal, ERA and EFT, Active Medicaid ID Number, Non-Licensed Provider Status, Provider Support, Billable Service Codes, Enrollment Update, Identifying a Molina Member, Member Eligibility, Rendering Providers, Opioid Education Resources, FFS Prior Authorizations, PA for New Services, Behavioral Health FAQ October 2018
Provider Bulletin – Special Edition: Cultural Competency October 2018
Provider Bulletin: Updated PIF Form, Post-Acute Provider Intake Form, Healthchek Reminder, Tobacco Cessation, Care Coordination Visit Guide, Molina and Cavs Partnership, Rendering Provider NPI, BH Carve-In for PCP Providers, ODM BH Redesign, Sterilization, Hysterectomy and Abortion, Consent Forms, Did You Know, Changes to PA Code List, Provider Training, Updated In-Office Lab Testing, Corrected Claims, Outpatient Therapy Caps October 2018
Quality Provider Bulletin: In-Home Blood Pressure Program, Total Diabetes Care Program, Behavioral Health Redesign, Tips on Improving the Use of Multiple Concurrent Antipsychotics, Coding Tips for Pregnancy Related Services, ICD-10-CM Diagnosis Coding, HEDIS Tips Booklet Minor Misprint, Wellness Measure Tips September 2018
Provider Bulletin – Special Edition: OBGYN September 2018
Provider Bulletin – Special Edition Behavioral Health: Corrected claims, Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New Services Behavioral Health – Frequently Asked Questions September 2018
Provider Bulletin: Updated Drug Formulary, Molina Announces Partnership with Cleveland Cavaliers, Medical Foods, Americans with Disabilities Act, Cultural Competency, Updated In-Office Laboratory Testing List, Sterilization, Hysterectomy and Abortion Consent Forms, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In for Primary Care Providers, ODM Behavioral Health (BH) Redesign, Notice of Changes to Prior Authorization (PA) Requirements, Outpatient EAPG Services, Corrected Claims, Provider Training Sessions, Outpatient Therapy Caps, Fighting Fraud, Waste & Abuse September 2018
Provider Bulletin – Special Edition Behavioral Health: Billing in the Provider Portal, Provider Portal Status for Non-Licensed Provider Records, Rendering Provider NPI, Upcoming Molina BH Q&A WebEx Training Sessions, Upcoming Provider Portal WebEx Training Sessions, Provider Data Validation, ERA and EFT for Providers, Active FFS Prior Authorizations, Member Eligibility, Common Billing Errors that Cause Claims to Deny, Behavioral Health – Frequently Asked Questions, Active Medicaid ID Number, Provider Support Available, Service Codes Billable to Medicare and Third Party Liability, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Rendering Providers in Provider Portal, New Opioid Education Resources, Requesting Prior Authorization for New Services August 2018
Provider Bulletin – Special Edition: EVV August 2018
Provider Bulletin: Licensed Practical Nurses (LPN) Renewal 2018, Complex Claim Review Process, Model of Care Training, Sterilization, Hysterectomy and Abortion Consent Forms, Molina Healthcare Quality Living Program Awardees, Inpatient Admission and Review, Nursing Facility Care Coordination Visit Guide, Rendering Provider NPI, Behavioral Health Carve-In Information for Primary Care Providers, Behavioral Health Member Eligibility Assistance, ODM Behavioral Health (BH) Redesign, Did You Know?, Notice of Changes to Prior Authorization (PA) Requirements, Top Claim Denials, Outpatient EAPG Services, Provider Newsletter, Updated – Corrected Claims, Updated In-Office Laboratory Testing List, Provider Training Sessions, Non-Par Laboratory Testing PA, Outpatient Therapy Caps, Fighting Fraud, Waste & Abuse August 2018
Provider Bulletin – Special Edition Behavioral Health: Active FFS Prior Authorizations, Upcoming Behavioral Health Sessions, Upcoming Face to Face Orientations, Behavioral Health Carve-In Information for All Providers, Rendering Provider NPI, Service Codes Billable to Medicare and Third Party Liability, Member Eligibility, ERA and EFT for Providers, Common Billing Errors that Cause Claims to Deny, Behavioral Health Redesign Claims Testing, Active Medicaid ID Number, Provider Support Available, Enrollment Updates for BH Agencies, Identifying a Molina Healthcare Member, Behavioral Health – Frequently Asked Questions, Rendering Providers in Provider Portal, BH Rendering Testing Guidance, New Opioid Education Resources, Requesting Prior Authorization for New Services, Claims Features Training July 2018
Provider Bulletin - Special Edition: Model of Care July 2018
Provider Bulletin - New Nursing Facility Guide, Active Medicaid ID Number, BH Carve in for PCPs, Rendering Provider NPI, BH Independence - OH Training, BH Springdale - OH Training, ODM BH Redesign, BH Member Eligibility Assistance, Medicaid Redetermination, Changes to PA Code List, Corrected Claims, In-Office Laboratory Test List, Provider Training, Non-Par Laboratory Testing PA, DME Q&A Session, Outpatient Therapy Caps July 2018
Provider Bulletin – Special Edition: New Nursing Facility Guide June 2018
Provider Bulletin – Special Edition Behavioral Health: Molina BH WebEx Training, Independence Ohio Training, Identifying a Molina Member, Behavioral Health FAQ, Rendering Providers, BH Claims Testing, Common Billing Errors, Provider Support, Enrollment Update, BH Testing Guidance, Opioid Education Resources, PA for New Services, Claims Features Training June 2018
Quality Provider Bulletin: Pregnancy Rewards Changes, Changes to Passport to Perks Incentive Program, Proper Blood Pressure Readings, HbA1c In-Office Testing, 7-Day Follow Up After Hospitalization for Mental Illness (FUH) Measure June 2018
Provider Bulletin: Nursing Facility Room & Board, In-Office Laboratory Test List, Medicaid Redetermination, New NPI Requirements, Medicaid Check Runs, Outpatient Therapy Caps, Enrollment Application, Corrected Claims, ODM BH Redesign, FQHC Transportation, Provider Training, DME Q&A Sessions, Online Claim Reconsiderations, NDC Billing Guidelines, Non-Par Laboratory Testing PA June 2018
Provider Bulletin – Special Edition: FQHC Transportation Reimbursement May 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign May 2018
Provider Bulletin: Outpatient Therapy Caps, DME Q&A Sessions, Enrollment Application, Pregnancy Rewards, Provider Satisfaction Survey, Corrected Claims, ODM BH Redesign, Change to PA Code List, Provider Training, Cures Act MAT Training, Online Claim Reconsiderations, NDC Billing Guidelines, Physician Laboratory Tests, Non-Par Laboratory Testing PA May 2018
Provider Bulletin – Special Edition: Medicaid Restricted Coverage Periods April 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign April 2018
Provider Bulletin: Provider Satisfaction Survey, Quality Living Program Awardees, Concurrent & Post Payment Denials, Corrected Claims, 2018 HEDIS® Data Collection, Cures Act MAT Training, Provider Training, ODM BH Redesign, Partners in Care, Americans with Disabilities Act, Physician Laboratory Tests, Non-Par Laboratory Testing PA, Online Claim Reconsideration, NDC Billing Guidelines April 2018
Provider Bulletin – Special Edition: Waiver Services March 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign March 2018
Provider Bulletin: Corrected Claims, Provider Training, Physician Laboratory Tests, 2018 HEDIS® Data Collection, Cures Act MAT Training, ODM BH Redesign, Facility Claims, Cultural Competency, Access Standards, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim Reconsideration March 2018
Quality Provider Bulletin: Provider Incentive for Prenatal Care, Postpartum Care Coding Tips, Retinopathy Screenings, BH Redesign, Antipsychotics in Children and Adolescents February 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign February 2018
Provider Bulletin: 2018 HEDIS® Data Collection, Cures Act MAT Training, BMI Reporting, Postpartum Care Coding Tips, ODM BH Redesign, Physician Laboratory Tests, Non-Par Laboratory Testing PA, NDC Billing Guidelines, Online Claim Reconsideration February 2018
Provider Bulletin – Special Edition: Behavioral Health Redesign January 2018
Provider Bulletin: Laboratory Testing, Non-Par Laboratory Testing, ODM Behavioral Health, National Drug Code, Updated PA Code List, Online Claim Reconsideration January 2018
2017 Month
Holiday Provider Bulletin: Happy Holidays from Molina! December 2017
Provider Bulletin – Special Edition: Behavioral Health Redesign December 2017
Provider Bulletin: Corrected Claims, ODM Behavioral Health, NDC Billing Guides, New Transportation Vendor, Office Laboratory Tests, New PA Code List, Mailing Information, Evaluation & Management, Fee-for-time Compensation, Online Claim Reconsideration December 2017
Quality Provider Bulletin: Timely Prenatal Care, National Diabetes Awareness Month, HEDIS® Measure Spotlight: Follow-Up After Hospitalization for Mental Illness December 2017
Provider Bulletin – Special Edition: Behavioral Health Redesign Claims Testing November 2017
Provider Bulletin – Special Edition: Medicaid Enrollment ID Requirements November 2017
Provider Bulletin: Updating PIF Form, PA Code Addition Update, BH Redesign 501 Trainings, ODM BH Redesign, Claim Adjustment Reason Codes, Reconsideration Process, NDC Billing Guidelines, DME Modifiers, Prior Authorization Reminder, Partners in Care Newsletter, Americans with Disabilities Act, Online Claim Reconsideration November 2017
Provider Bulletin – Special Edition: Cultural Competency October 2017
Provider Bulletin: 2017 Open Enrollment, Online Claim Reconsideration, Medicaid Renewal Deadline, Prescription Opioids, Milliman MCG Tool, ODM BH Redesign, New Hospice Rates, Healthchek Reminder, Nursing Facility Communications, New Provider Orientation, HNCC Dissolving October 2017
Dental Bulletin – Special Edition: Link to Scion Provider Web Portal with Payer ID Number September 2017
Dental Bulletin – Special Edition: Link to Scion Provider Web Portal September 2017
Provider Bulletin – Special Edition: Ownership and Control Disclosure Form Requirement September 2017
Provider Bulletin – Special Edition: Molina Healthcare EAPG Update September 2017
Provider Bulletin – Special Edition: Orthodontic Continuation of Care September 2017
Provider Bulletin – Special Edition: Grandfathered Medication List September 2017
Provider Bulletin: Claim Reconsideration Requests, Cleveland Clinic, Waiver Authorizations, All- Cause Readmission, Transportation Claims, Encounter Requirements, Care Management Program, NDC Billing Guidelines, Compound Drugs, New Provider Orientation, New PA Code List, Observation Billing, Clear CoverageTM Update, NOC Billing Guidelines, HealthInHand App, Prior Authorization Form, ACR Guidelines Added September 2017
Provider Bulletin – Special Edition: Learn new skills and earn CME credit August 2017
Provider Bulletin – Special Edition: Mandatory Model of Care Training August 2017
Provider Bulletin: Prior Authorization Form, NDC Billing Guidelines, ACR Guidelines Added, HNCC Dissolving Program, Claim Reconsideration Form, Behavioral Health Respite Care, EDI Companion Guides, Milliman’s MCG Tool, EAPG Payment Methodology, Transportation Claims, Accident Billing Claims, Clear Coverage Update, Interpreter Services, Pregnancy Check-Up, Evaluation and Management, Diabetes Provider Toolkit, Submitting EDI Claims, BH Redesign, Out Patient BH Redesign Codes August 2017
Provider Bulletin: Dental Updates, Insect Repellent Prescriptions, Pregnancy Risk Assessment, BH Redesign, Submitting EDI Claims, Comprehensive Perinatal Care, Provider Manual Update, Hospital Rates Update, Care Plan Coordination, Uniform Authorization Form, EAPG Payment Methodology, Milliman’s MCG Tool, Co-Surgery Services July 2017
Provider Bulletin – Special Edition: Portal System Back Online June 2017
Provider Bulletin: BH Redesign, Submitting EDI Claims, 30-Day Readmission, Partners in Care Newsletter, Opioid Drug Abuse, Comprehensive Perinatal Care, New PA Code List, Milliman MCG, EAPG Payment Methodology, Claim Adjudication and Payment, Refunds, Provider Appeals, LARC Device Reimbursements, ODA Shared Living, Children with Autism June 2017
Provider Bulletin – Special Edition: Portal System Outage May 2017
Quality Provider Bulletin: Healthy Members through HEDIS® and CAHPS®, Prenatal and Postpartum Care, How Well Doctors Communicate, Our Commitment to Support Quality Perinatal Care, Member Motivation - Pregnancy Rewards, Early Identification - PRAF Form, Postpartum Visit Notification, Changes to the Seven-day FUH - Follow Up After Hospitalization, Lab in an Envelope Home Screening Program, Passport to Perks, CAHPS® Survey Administration May 2017
Provider Bulletin: Submitting EDI Claims, Behavioral Health Redesign, Covered & Non-Covered Days, CAHPS® Survey, Encounter Requirements, Basic Billing Training, NOC Billing Requirements, Updated PA Request Form, POS Coding for Scion, Health Care Coding Tips, COB & TPL Billing Guidelines, EAPG Payment Methodology, Americans with Disabilities Act, Cultural & Linguistic Competency, Corrected Claims, No CRRF May 2017
Provider Bulletin – Special Edition: Place of Service (POS) Coding for Scion April 2017
Provider Bulletin: CAHPS® and HSAG Survey, CPC Program, Hospice Rates, Child Birth Codes, Behavioral Health Redesign, Submitting EDI Claims, Provider Satisfaction Matters, Newborn Claims Billing, Access Standards, Changing NPI in MITS, New Billing for Hospice & NF April 2017
Quality Provider Bulletin: CAHPS and HSAG Survey Administration, Rating of Personal Doctor, How Well Doctors Communicate, Getting Needed Care, Health Promotion and Education, Shared Decision Making March 2017
Provider Bulletin: Submitting EDI Claims, Encounter Requirements, Aide Nursing Rate Changes, Home Health CPT Code Retired, Ownership Disclosure, Long Term Support Services, NF Ventilator Program, New Prior Authorization (PA) List March 2017
Provider Bulletin: Update to Medicare PA Processing, Billing Guidelines for FQHCs, Complex Claim Review Process, Clear Coverage, NOC Billing Requirements, Behavioral Health Redesign, Claim Reconsideration Update February 2017
2016 Month
Provider Bulletin: New Populations Joining Molina, Transportation Changes, Pharmacy Benefit Changes, Dental Benefit Changes, Behavioral Health Redesign, Expedited Appeals, Eff. Feb 1, 2017 – New PA List, Earn $50 for Prenatal Care, Flu Season Tips, Clear Coverage December 2016
Provider Bulletin – Special Edition: CPAP Therapy Changes for Durable Medical Equipment (DME) Providers December 2016
Provider Bulletin – Special Edition: Happy Holidays from Molina, Pharmacy Benefit Changes, Prevention Claim Denial – EPSDT, Updating Your Provider Information, Claim Reconsideration Requests Update December 2016
Provider Bulletin – Special Edition: Changes to the Dental Benefits are Coming Effective Jan. 1, 2017, Scion Dental Web Portal, Electronic Funds Transfer (EFT) November 2016
Quality Provider Bulletin: Partners in Care Newsletter Online, Healthy Members through HEDIS®, Satisfied Members through CAHPS® November 2016
Provider Bulletin: Inpatient Stays for Behavioral Health, MedXM Providing Health Assessments to Members, New Populations Joining Molina Healthcare, ODM Behavioral Health Redesign, Transportation Changes, Mandatory Cultural Competency Training November 2016
Provider Bulletin: Claim Reconsideration Requests Update, Transplant and NICU Fax Number Changes, Home Health CPT Code Retired – G0154, Vaccines for Children Billing and Reimbursement Update, Remind Patients About Healthchek and Children in Custody, Adoption Joining Molina Healthcare October 2016
Provider Bulletin – Special Edition: Pregnancy Rewards, Earn $50 for Timely Prenatal Care October 2016
Provider Bulletin: Outpatient and Inpatient Payment, Pre-Release Pilot for Justice-Involved Members, Panel Limitations Reminder for Primary Care Providers, Earn $50 for Timely Prenatal Care, Prescriptions for Insect Repellent Now Covered, Corrected Claims Submission Tips, Provide Preventive Care During Other Types of Care September 2016
Quality Provider Bulletin: Important Note About Member ID Cards, Earn $50 for Timely Prenatal Care, Healthy Members through HEDIS, Satisfied Members through CAHPS, Access and Availability of Care August 2016
Provider Bulletin: Episode-Based Payment Model Reports, Transportation Claim Modifiers, Home Health Claim Modifiers, Evaluation and Management Billing Guidelines, Claims Processing, Member Level of Care Changes, Access Standards August 2016
Provider Bulletin: PCP Assignment and Changes, Billing MMP Enrollees for Medicare Cost-Sharing Prohibited, Corrected Claims or EOBs from the Primary Insurance, ODM Behavioral Health Redesign , Annual Mandatory SNP Model of Care Training July 2016
Provider Bulletin: Dual Coverage Dental Eligibility, Referring to Network Providers, Nursing Facility Transportation, Behavioral Health Redesign, NDC Requirement, Partners in Care Newsletter, Health Care Coding Tips, Provider Satisfaction Survey June 2016
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality Services May 2016
Provider Bulletin: Inpatient/Outpatient PA Requests, Encounter Requirements, Delivery Claims, Recipient of NCQA Award, Revalidation Requirement, Behavioral Health Redesign, Walk-in Retail Clinics, Health Care Coding Tips May 2016
Provider Bulletin – Special Edition: Dental COC April 2016
Provider Bulletin: Inpatient Authorization Requests, Prior Authorization Update, Hospice Billing Information, Corrected Claims Requirements, Delivery Claims Update, Updating Provider Information, Faster Claim Reconsideration, SBIRT in Primary Care, New ODM Fee Schedule Codes April 2016
Provider Bulletin - Special Edition: Patient Liability Claims Correction March 2016
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality Services March 2016
Provider Bulletin: Waiver Services Authorizations, Patient Liability Errors, POA Requirements, Federal Revalidation Requirement, Reminder About Diabetic Patients, Disability Discrimination Prohibited, Cultural & Linguistic Competency, Supporting CD4AP, Hospice Nursing Services Codes, Reaching a Care Manager March 2016
Provider Bulletin - Special Edition: OB/GYN Progesterone Therapy Update February 2016
Provider Bulletin - Special Edition: Skilled Nursing Facilities Submitting Service Dates for Room and Board February 2016
Provider Bulletin: Billing Members Prohibited, Network Participation Status, Behavioral Health TOC, Independent Provider Overtime, Clear Coverage Training, Updating Provider Information, Changes for Delivery Claims February 2016
Provider Bulletin – Special Edition: Online Orientations for New Dental Program January 2016
Provider Bulletin: Medicare Part B Cost Sharing, MyCare Ohio Crossover Claims, Prevent Claim Rejection, Psychotropic Drugs for Children, Reaching a Care Manager, Make the Most of Flu Season, Pharmacy PDL Update, Clear Coverage Training, New ODM Sterilization Form January 2016
2015 Month
Provider Bulletin: New PA List and Form, Nurse & Aide Rate Changes, Home Health Codes for Medicare, Expanded NDC Requirements, Prevent Claim Denial – EPSDT, Prevent Claim Rejection December 2015
Holiday Provider Bulletin: Happy Holidays from Molina, Prevent Claim Denial – EPSDT, Updating Provider Information, Clear Coverage Training December 2015
Quality Provider Bulletin: Molina Healthcare’s Commitment to Healthy Members and Quality Services Fall 2015
Provider Bulletin: Prevent Claim Denial – EPSDT, ICD-10 Claims Based on Date, Upcoming PA Code List Update, Fall Partners in Care Newsletter, NDC Requirements Expanding, Assigning Members a PCP, Revalidation Requirement, Clear Coverage Corner, Mandatory SNP Training November 2015
Provider Bulletin – Special Edition: Transition to Secure Transportation October 2015
Provider Bulletin: Prevent EPSDT Claim Denial, Claim Rejection: Spanned Dates, PA Reconsideration vs. Appeal, Progesterone Therapy Fax, Clear Coverage Corner, New Transportation Vendor, Patient Liability Reconciliation, Web Portal Support Desk, Updating Provider Information, Return of Overpayment Form, ICD-10 Update October 2015
Provider Bulletin: Prevent EPSDT Claim Denial, Immunization Status, Home Health Billing Guidelines, PA Reconsideration vs. Appeal, Clear Coverage Corner, Corrected Claim Requirements, Healthchek, Refer to Participating Providers, Easier-to-Read EOPs, Web Portal Support Desk, Prospective Records Review, ICD-10 Update September 2015
Provider Bulletin – Special Edition: Preparing for ICD-10 August 2015
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services Summer 2015
Provider Bulletin: Prevent EPSDT Claim Rejection, Explanation of Payments Update, Leadership Staff Update, Immunization Status, Resources for Skilled Nursing Facilities, Clear Coverage Corner – Training, Reconsideration vs. Appeal, Provider Portal Support Desk, ICD-10 Update August 2015
Provider Bulletin – Special Edition: EPSDT Billing Guidelines July 2015
Provider Bulletin: EPSDT Billing Guidelines, MinuteClinic Joins Provider Network, Clear Coverage Corner – Training, Immunization Status, Only Commendable Medicaid Health Plan in Ohio, Provider Satisfaction Matters, Provider Portal Support Service Desk, Primary Care Provider Payment, Important Notice to MyCare Ohio Providers, ICD-10 Update July 2015
Provider Bulletin: Notice for Providers Serving MyCare Ohio Members, Patients’ Medicaid Renewal Deadline, Text4baby – Free Texts for Moms, Clear Coverage Corner – Enhancements, Patients to Receive Updated ID Cards, Molina Healthcare Achieves NCQA Commendable, Mandatory Waiver Provider Training, Correct Claims Submission, Pre-Authorization Denials, Care Management – How You Can Help, ICD-10 Update June 2015
Provider Bulletin – Special Edition: MyCare Ohio Transportation May 2015
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services Spring 2015
Provider Bulletin: Primary Care Rate Increase Payments, Notice for Providers Serving MyCare Ohio Members, Corrected Claims Submission, Introduction to Care Management, Updated Billing Guidelines Coming Soon, Patients’ Medicaid Renewal Deadline, Clear Coverage Corner – Training, Primary Insurance Information, Claim Reconsideration Requests, Hospice Room and Board Update, ICD-10 Update May 2015
Provider Bulletin: Patients’ Medicaid Renewal Deadline, Update to Corrected Claims Process, Clear Coverage – Training Sessions, Access Standards, ICD-10 Implementation Update, Claim Reconsideration Policy Update April 2015
Provider Bulletin: Patient’s Medicaid Renewal Deadline, Clear Coverage Corner – Automatic Approval, ICD-10 Implementation Update, Depression in Primary Care, Telemedicine, MyCare Ohio Web Portal Update March 2015
Provider Bulletin: Clear Coverage Corner – Accessibility, Service Code Authorization Groups, Upcoming Provider Training Webinars, ICD-10 Implementation Update, Telemedicine, MyCare Ohio Passive Enrollment Split Billing, MyCare Ohio EFT for Waiver Providers, Molina MyCare Ohio Regional Forums Febraury 2015
Provider Bulletin: Preferred Drug List, Electronic Funds Transfers, Ohio Medicaid APR DRG Requirement, ICD-10 Implementation Update, 2015 MyCare Ohio Transportation, Provider Training Webinars Janurary 2015
2014 Month
Provider Bulletin: Amended PA Requirements, APR DRG Requirement, ICD-10 Implementation, Emdeon Processing, MyCare Ohio Passive Enrollment, NET Transportation, Partners in Care Newsletter December 2014
Quality Provider Bulletin: Comprehensive Diabetes Care, Antidepressant Medication Management, Follow-up After Hospitalization For Mental Illness, Initiation/Engagement of Alcohol and Drug Dependence Treatment, Follow-up For Children Prescribed Attention Deficit Hyperactivity of Disorder (ADHD) Medication, Frequency of Ongoing Prenatal Care & Timeliness of Prenatal Care, Postpartum Care (PPC), Getting Care Quickly Fall 2014
Provider Bulletin: Amended Par Requirements – Jan. 1, 2015, Pharmacy Facts, Provider Spotlight, Secure Messaging with Care Managers November 2014
Provider Bulletin: 2014 Prospective Medical Record Review & Retroactive Risk adjustment, Provider EMR Access, Fall Prevention, ICD-10 Implementation Update, Ebola Resources October 2014
Provider Bulletin: All Patient Refined Diagnosis Groups, 2014 Prospective Medical Record Review & Retroactive Risk Adjustment, ICD-10 Implementation Update, Electronic Funds Transfer, Long-term Services and Supports (LTSS) Claims Submission Trainings, Upcoming MyCare Ohio Provider Forums September 2014
Provider Bulletin: Emailing PHI Security, Delegation of Children With Special Health Care Needs (CSHCN), Prior Authorization, Provider Engagement Team Meetings, Corrected Claims Submission August 2014
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services Summer 2014
Provider Bulletin: Pharmacy Facts, Healthchek, Navigating the Coordinating Services Program, Documenting BMI Assessments July 2014
Provider Bulletin: Submitting Corrected Claims, Pharmacy Facts, Solvaldi, Provider Information Updates, Dual Options Behavioral Health Update, Partners in Care Provider Newsletter Posted on the Web, Provider Satisfaction Matters to Molina June 2014
Provider Bulletin: Pharmacy Facts, PA No Longer Required for Mirena, Webex Online Trainings, Multiple Therapy Reduction, ICD-10 Update May 2014
Provider Bulletin - Special Edition: Molina Dual Options MyCare Ohio Provider Orientation April 2014
Provider Bulletin: Update to Pre-Service & Post-Service Claim Reconsideration Policy, Pharmacy Facts, Access Standards- Helping Members Set Reasonable Expectations, Public Website Home Page Improvements, What is MyCare Ohio, When Will MyCare Ohio Begin, How Will This Impact Your Patients, Website Roundup, April's Quality Check, Webex Online Trainings, Repeat & Reminders, Provider Spotlight, Fighting Fraud, Waste and Abuse, Molina Healthcare Contacts, April Community Outreach Events, Webex Online Trainings, Team Approach to Care Coordination, Combined Benefit Package, MyCare Ohio Quick Links April 2014
Quality Provider Bulletin: Molina Healthcare's Commitment to Healthy Members and Quality Services Spring 2014
Provider Bulletin: MyCare Ohio Update, New HEDIS® Scorecard Web Portal Tool, Pharmacy Facts, CMS-1500 Claim Form, Healthy Members & Quality Services, What's New at Molina, Website Roundup, Outpatient PA Request March 2014
Provider Bulletin - Special Edition: Revised CMS 1500 claim form v02/12 March 2014
Provider Bulletin: Molina's Clear Coverage Offers Automatic Authorization and Real Time Responses, Amended Prior Authorization Requirements Effective Jan. 1, 2014, Phase-Out of High-Dose Prescription Acetaminophen Combination Products, 2014 HEDIS Data Collection, Provider Web Portal Updates, Respite Care Benefit, CMS Communication: ICD-10 Provider Survey, Members’ Satisfaction with Health Promotion and Education, Commitment to Healthy Members and Quality Services February 2014
Provider Bulletin: Molina Healthcare Provider Website Updates, Clear Coverage Monthly Online Training Sessions, Respite Care Benefit , Billing Requirements, Reimbursement, Delegation of Children with Special Health Care Needs, Vision Problems Can Cause Falls Among Older Ohioans, Commitment to Healthy Members and Quality Services, Members’ Satisfaction with Shared Decision Making January 2014

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