Molinalogo

• Step One - Connect

  Points of contact and the process for joining our network will differ depending on the type of provider that you are. Please follow the
  instructions below for your provider type:

   

  Vision Providers

  Please contact our vision vendor, March Vision Care, for participation at (844) 606-2724 or by visiting MarchVisionCare.com

  Pharmacy Providers

  The Mississippi Division of Medicaid (DOM) is responsible for credentialing pharmacy providers that participate in the Managed Care programs (Mississippi Coordinated Access Network, MSCAN) and (Mississippi Children's Health Insurance Program, MSCHIP). Please contact the Division of Medicaid at (800) 884-3222.

  All Other Providers

  Please complete a Contract Request Form and submit to MHMSProviderContracting@MolinaHealthcare.com.

   

   

• Step Two - Documentation

  If your Contract Request Form is accepted, our Provider Contracting department will provide you with credentialing and contracting documents that must be completed. Documents you receive may differ depending on provider type, and may include:

  • - Provider Agreement;
  • - Provider Information Form;
  • - Ownership and Control Disclosure Form;
  • - W-9;
  • - Practitioner Application (if practitioner does not have an updated and attested CAQH profile); and/or
  • - Health Delivery Organization Credentialing Application

  
  

   

  Upon receipt of completed documents, Provider Contracting will then begin the credentialing process.

• Step Three - Contract

  The final step will be for Molina to countersign your Provider Agreement and provide you with a signed copy. Credentialed facilities and/or practitioners will also be loaded into Molina’s claims payment system as in-network providers. The in-network effective date for each facility and/or practitioner will be the date of credentialing completion, which will be included in the notification that you will receive from Molina’s Credentialing department (referenced above in Step 3 – Credential).

Already a participating provider with Molina Healthcare of Mississippi but would like to join an existing participating group? Please complete a Provider Information Update Form and submit to MHMSProviderUpdates@molinahealthcare.com 

Questions?

If you have any questions or concerns, email our Provider Contracting department at MHMSProviderContracting@MolinaHealthcare.com or call our Provider Contact Center at (844) 826-4335.