Communications
Our communications are a great way for providers to receive helpful information, education, important updates and more! Our goal is to provide you with the kind of information that will help you care for Molina Healthcare members.
- DMAS Provider Bulletins
Visit the Medicaid Memos and Bulletins to Providers page to read the latest DMAS bulletins.
- Molina Bulletins and Announcements
2024
- New Claims and NICU Reimbursement Policies -- posted April 15
- How to Submit a Quick Claim for Atypical Providers-- posted April 11
- UPDATE: Optum-Change Healthcare Outage -- posted April 11
- 2024 First Quarter Provider Newsletter -- posted March 29
- UPDATE: Optum-Change Healthcare Outage -- posted March 18
- UPDATE: Optum-Change Healthcare Outage -- posted March 12
- 2024 Model of Care Provider Training -- posted February 29
- UPDATE: Optum-Change Healthcare Outage -- posted February 29
- URGENT: Optum-Change Healthcare Outage -- posted February 27
- Claims Correction in Availity -- posted January 18
2023
- Advanced Imaging Provider Bulletin -- posted December 20
- Reminder: Model of Care Training Due 12/31/23 -- posted December 14
- Availity Claims Messaging Flyer -- posted December 8
- Effective 1/15/2024 - Professional and Facility Outpatient Code Editing Enhancements -- posted November 15
- Code Editing and Code Validation Implementation -- posted November 15
- Electronic Visit Verification Service Claims Submissions Reminder -- posted November 14
- Model of Care Training Due 12/31/23 -- posted October 16
- 2023 Third Quarter Provider Newsletter -- posted September 11
- Tribal Health Clinics/Providers for Tribal Members -- posted September 5
- Availity Training Schedule: September 2023 -- posted August 30
- Explanation of Payment refund and forwarding balance reporting enhancement -- posted July 27
- CVS Caremark Digital Tools -- posted July 18
- Electronic Visit Verification Service Claims Submissions -- posted June 16
- Members being charged for Doula services -- posted May 19
- Availity Training Schedule May 2023 -- posted April 25
- Update: Molina Healthcare partnership with ProgenyHealth -- posted April 12
- Important information for providers regarding the resumption of Medicaid redeterminations -- posted April 11
- Updates to certain reimbursement rates for LTSS and PDN providers -- posted March 31
- Member ID Cards Discrepancy -- posted March 24
- Model of Care Provider Training 2023 Requirement -- posted March 21
- April Availity Training Webinar Dates -- posted March 21
- Model of Care Provider Training -- posted March 15
- Pre-July 1st Claims Notification Update -- posted March 14
- Explanation of Payment Refund Reporting Enhancement -- posted March 13
- Molina Healthcare partners with ProgenyHealth to promote healthy outcomes for newborns -- posted March 13
- Molina Healthcare will partner with Healthmap Solutions, Inc.-- posted February 28
- Important Deadline for Managed Care Network Providers -- posted February 22
- Availity Provider Portal Overview Trainings -- posted February 22
- Availity Overpayment Webinars -- posted February 20
- Virtual Provider Orientation Training February 15th - posted February 8
- Pre July 1 Claims Notification -- posted February 3
- Medicaid Managed Care Payments Notice -- posted January 30
- Misaligned Claims Notice -- posted January 27
- Molina Healthcare partnership with ProgenyHealth -- posted January 6
2022- COBA Provider Update -- posted December 22
- ProviderNet Sunsetting Notice -- posted December 7
- Provider Misdirected Claims Reminder -- posted December 6
- 2022 Fourth Quarter Provider Newsletter -- posted November 29
- Medicaid secondary claims process change -- updated November 15
- Updated Medicare Prior Authorization Tools -- posted November 3
- Availity provider portal updates -- revised November 2
- Long-term Services and Support authorizations process change -- posted October 26
- Using correct license-level modifiers on claims -- posted October 26
- Updated: Provider payment methodology -- posted October 24
- Real-time benefits tool through CVSHealth -- posted September 8
- Cotiviti will conduct post-payment reviews of inpatient claims -- posted September 1
- New provider payment platform -- posted August 16
- Change Healthcare ProviderNet Portal Outage -- posted August 8
- Service facilitation visit change -- posted July 25
- Availity provider portal -- posted July 14
- MCG Cite AutoAuth for ePortal advanced imaging prior authorizations -- posted June 21
- 2022 provider incentive: $85 bonus for qualifying well visits -- posted June 17
- Molina Healthcare 2022 Provider Newsletter Second Quarter -- posted June 3
- Pre-Pay Correct Coding -- posted June 1
- Molina Healthcare Medicaid transitions to Availity on July 1, 2022 -- posted May 23
- Provider staff roster reminder -- posted May 20
- Molina Healthcare operational changes effective 7/1/2022 -- posted May 12
- Upcoming updates to our Medicaid claims process -- posted April 29
- Important utilization management/authorization updates -- posted April 29
- Reminder: Authorization Process Change to Physician-Administered Medications/HCPCS Code Policy -- posted April 22
- Rate increase for Home and Community Based Services waivers program -- posted April 11
- New Clinical Policy Website Available to Providers -- posted March 23
- Transportation Benefits For Members -- posted January 21
2021- Virginia Medicaid Provider Services Solution (PRSS) -- posted December 27
- Project BRAVO Transition Processes and Requirements for Service Authorizations -- posted December 1
- Authorization Process Change to Physician-Administered Medications/HCPCS Code Policy -- posted November 30
- Notice of change to Molina Healthcare Pharmacy Benefits Manager -- posted November 23
- Prior Authorizations transitioning from NIA Magellan back to Molina Healthcare -- posted November 19
- December Prior Authorization Updates -- posted November 5
- Nurse Advice Line -- posted September 27
- 90-Day Drug List Update Effective 10/1/2021 -- posted September 23
- Continued Stay Reviews -- posted September 17
- Prior Authorization Requirement -- posted September 16
- Changes to CMHRS Span Billing Reminder -- posted August 31
- Utilization Management August Updates -- posted August 30
- Clinical Practice Guidelines Updates -- posted August 23
- Molina Medical Policy -- posted July 30
- Correct Coding -- posted July 30
- Updating information for Provider Online Directory -- posted July 29
- Corrective Action Plans -- posted June 28
- New Durable Medical Equipment Policies -- posted June 17
- Rx July Prior Authorization Code Updates -- posted June 1
- Retroactive Reviews Updates -- posted May 28
- Authorization Requirements Fax Line Updates -- posted May 28
- Crisis Stabilization Update -- posted May 20
- New Appeals Information Management System (AIMS) Portal Streamlines the Appeals Process -- posted May 6
- Rx May Prior Authorization Code Updates -- posted April 1
- Newborn Notifications -- posted March 19
- Sub-Acute Rehab for Medallion 4.0 members -- posted March 10
- Behavioral Health Updates -- posted February 12
- New provider toolkits available on Molina website -- posted February 2
- Updates to our Sepsis Policy -- posted January 8
2020
- Untimely Pre-Certification Requests Update -- posted December 21, 2020
- New Behavioral Health Fax Line -- posted December 28, 2020
- Provider Roster Submission -- posted November 20, 2020
- Annual Wellness Visits -- posted November 19, 2020
- Flu Shot Reminder for Providers -- posted September 24, 2020
- Alternate Language and Formats -- posted September 3, 2020
- DMAS-98R Form Submission Request -- posted September 8, 2020
- October 1 changes to prior authorization requirements -- posted September 1, 2020
- Process Timeframes for Crisis Stabilization -- posted August 4, 2020
- Added Prior Authorization Requirements to Medical J Code Medications -- posted July 31, 2020
- Sun Safety Reminder -- posted June 16, 2020
- Importance of updating provider data -- posted May 1, 2020
- Patient Referrals to Complex Case Management -- posted November 4, 2019
- Molina Usage of Provider Data -- posted September 30, 2019
- Molina Provider Newsletters
- 2024 First Quarter Provider Newsletter
- 2023 Fourth Quarter Provider Newsletter
- 2023 Third Quarter Provider Newsletter
- 2023 Second Quarter Provider Newsletter
- 2023 First Quarter Provider Newsletter
- 2022 Fourth Quarter Provider Newsletter
- 2022 Third Quarter Provider Newsletter
- July 1 Provider Updates Newsletter Digest -- updated September 2022
- 2022 Second Quarter Provider Newsletter
- 2022 First Quarter Provider Newsletter
- 2021 Fall Provider Newsletter