Molinalogo

• 2025 Behavioral Analysis Quick Reference Guide
• 2025 Prior Authorization Guide
• 2025 All Specialties Quick Reference Guide
• November 2024 Medicaid Resource Guide
• MCG AutoAuth Quick Reference Guide (Availity Portal)
• 2024 HEDIS Resource Guides
  • Medicaid

• Provider Orientation - All Specialties
• Provider Orientation - Behavioral Analysis Services
• Specialty Population Serious Adverse Event Report Training 
• Annual PCP Substance Abuse Training
• Skilled Nursing Facility Training
• Medical Foster Care Services

• Electronic Visit Verification (EVV)
  • EVV Provider Slide Deck - English
  • EVV Compliance: Real Time Tracking 
  • EVV Communication - Provider Reminder Notice

• How to Submit a Claim
• How to Submit a Provider Appeal, Dispute, Grievance
• Follow Up After Hospitalization
• Coordination of Care

• My 2024 Medicaid Billing Tip Sheet (Feb 2024)
• Provider Billing Guidelines (June 2024)
• Non-Par Provider Billing Guide (March 2024)
• Ambulance & Transportation Services (Jan 2023)
• Anesthesia
• Coordination of Benefits (COB)
• Crossover Claims
• Doula Services *Revision*
• Electronic Payment/Remittance Advice Services
• Itemized Claim Reviews
• Laboratory Services
  
• Nursing Facilities
• Well Child Visits

February 2025

ED Leveling Effective May 1, 2025 2/20/25

Continuity of Care FAQ 2/20/25

Q2 Codes Added to Prior Auth 2/19/25

Q2 Marketplace Prior Auth Code Matrix 2/11/25

January 2025

Molina Healthcare of Florida Regional Exit Information 1/24/25

Q1 2025 Marketplace Prior Auth Code Matrix 1/1/25

December 2024

  Diabetic Supplies/AHCA Exceptions Update 12/20/24

  November 2024

  Availity: Prior Authorization Application Update 11/14/24

  Availity: Changes to Reconsiderations Process 11/8/24

  Training Opportunities for All Specialties 11/6/24

  Molina Covers Behavioral Analysis Effective February 2025 11/1/24

  Registration Open for Provider Training 11/1/24

  Taxonomy Code Requirement Effective November 2024 11/1/24

August 2024

     Genetic Testing Prior Auth Update 8/12/24

July 2024
EVV Requirements Effective 7/1/24 

June 2024

MPIP Physician E&M Reimbursement Update Effective 10/1/23 6/14/24

May 2024

Marketplace Bulletin: Q3 PA Code Matrix 5/31/24
QVE Phase Out 5/6/24

April 2024

Hadlima (Humira Biosimilar) Added to AHCA Preferred Drug List 4/30/24

NDC Medicaid Billing 4/29/24

Observation Billing Requirements 4/19/24

Advanced Imaging Requests 4/15/24

Change Healthcare Final Update 4/5/24

March 2024

EVV Compliance: Real Time Tracking 3/22/24
Change Healthcare Outage Status Update: Call Center Info.3/18/24
Change Healthcare Outage Status Update: Eligibility Verification 3/13/24
New Prior Auth Form for Private Duty Nursing 3/6/24

February 2024

Change Healthcare Outage Status Update 2/29/24
Change Healthcare Outage 2/26/24
My 2024 Medicaid Billing Tip Sheet 2/23/24

How to Correct Claims in Availity 2/5/24

January 2024

Taxonomy Code Requirements Reminder 1/30/24
WanaBana Recall Lead Guidance 1/19/24
Post Stabilization Service Updates Effective 3/1/24 1/18/24

2023

September 2023

• Blast Fax - COA Reminder 

August 2023

• Blast Fax - Pharmacy Update July 2023 (082723)

July 2023

• Blast Fax - Avalon Provider Letter 
• Blast Fax - Provider Refund EOP and 835 Enhancements

June 2023

• Blast Fax - Appeals Address Update (Eff: 07/15/23)

May 2023

• Blast Fax - Taxonomy Code Requirement (Eff 05/01/23) 

March 2023

• Blast Fax - Updated PNF Incentive
• Blast Fax - ALF VBP Update