Find the right department

Source: Molina Healthcare of Michigan 2026 Medicaid Provider Manual (October 2026). Portal access, claims, authorizations, eligibility and contracting questions; authorizations go through Availity Essentials.

Source: Molina Healthcare of Michigan 2026 Medicaid Provider Manual (October 2026). Member/enrollee appeals (providers may file with authorization).

Source: Molina Healthcare of Michigan 2026 Medicaid Provider Manual (October 2026). Quality department general fax (844) 861-1432.

Source: Molina Healthcare of Michigan 2026 Medicaid Provider Manual (October 2026). Portal is preferred; RDRP/arbitration requests use the same PO Box (Attn: Appeals and Grievances).

Source: Molina Healthcare of Michigan 2026 Medicaid Provider Manual (October 2026). Include member name, DOB and reason for referral; phone via contact center.

Behavioral health provider questions (Ohio).

Overpayment/recovery disputes may be mailed or filed in Availity.

Molina Complete Care for MyCare Ohio plan grievance or appeal in writing.

Send updated/termed other-insurance (COB) information with Molina ID and front/back copy of the other ID card.

Evolent cardiology intake for Molina Ohio.

Evolent (formerly New Century Health) medical oncology intake for Molina Ohio. Radiation oncology fax 877-380-7848; cardiology intake 714-582-7547. Evolent Network Operations 888-999-7713 option 6 for portal access/training.

Evolent radiation oncology intake for Molina Ohio.

Hospital or hospital-affiliated physician group questions.

Home health, independent providers, waiver (LTSS), labs, ancillary dialysis, transportation and DME questions.

Molina Healthcare of Ohio provider services for claims, appeals, authorizations, eligibility; also Health Care Services (UM) and verbal claim disputes. PA must be submitted in Availity Essentials from Jan 1, 2026. EDI payer IDs: 0007316 Ohio Medicaid (ABD, Adult Extension, Healthy Families); D007316 SKYGEN dental; V007316 March Vision; 0021586 MyCare Ohio (Molina Complete Care / MyCare Ohio Medicaid); 20149 Marketplace and Medicare D-SNP. Medicaid EDI claims route through ODM OMES.

Fax the Claim Reconsideration Request Form (non-clinical dispute) and documents to the Provider Appeals & Grievances team; or use Availity, or call 855-322-4079 for verbal claim disputes. Mailed paper disputes and email are not processed.

Member-facing: benefits, eligibility/ID, PCP changes, complaints.

Physician-administered (J-code) drug requests for MyCare Ohio.

Molina MyCare Ohio Medicaid (Medicaid-only) grievance/appeal. Molina Complete Care for MyCare Ohio (D-SNP) uses P.O. Box 22816, Long Beach, CA 90801-9977, fax 562-499-0610.

NICU admissions for Molina Ohio infants: authorization requests and clinicals go directly to ProgenyHealth. CM email: MolinaOHCM@progenyhealth.com.

Skilled nursing, long-term care, hospice and assisted living facility questions.

Physician and specialist questions.

Written inquiries on education, training and escalated issues; Provider Engagement Council interest.

Claims Recovery refunds of overpayments.

SKYGEN USA administers Molina Ohio dental. Benefit questions: 855-322-4079 option 7. Dental payer ID D007316 (Medicaid) / D0021586 (MyCare).

Listed under Managed Care Organizations on KY CHFS Medicaid Contacts page; page is provider-oriented but does not say provider vs member.

Evolent Specialty Services prior authorization for cardiology, medical oncology and radiation oncology.

Care coordination, post-discharge follow-up and disease management. Use the mailbox after unsuccessful after-hours attempts.

Claim Recovery Unit (overpayment recovery) per the 2026 Provider Engagement QRG.

MMA-only members (and Marketplace per the QRG vendor list); comprehensive/LTC members go through Molina UM at 855-322-4076.

MTM reservation line for MMA/Specialty/LTC; after hours/weekends 877-299-4811.

EDI payer ID 51062; Availity Essentials preferred. Timely filing six months from DOS/discharge (90 days after primary payer determination for COB).

Retail, specialty, J-code and buy-and-bill drug authorizations. When calling, state Medicaid or Exchange (Marketplace), then "pharmacy". After hours/weekends: CVS Caremark help desk 855-276-6580.

Appeals & Grievances phone/fax/mailbox per the 2026 Provider Engagement QRG (phone is shared with Member Services).

Portal access, claims, authorizations and contracting questions for Medicaid (MMA/LTC), Marketplace and CMS Health Plan providers.

Medical and behavioral inpatient/outpatient authorizations including home health, IV infusion, DME and hospice. Marketplace UM fax: 833-322-1061.

UM fax for Molina Marketplace (MP) members in Florida.

Behavioral health providers submit IM-CAT and assessment results (mobile crisis response) within 24 hours by secure email or fax.

Manual lists the Claims Recovery Department (provider disputes & correspondence, Spokane) and a refund-payments-only lockbox (Cincinnati) followed by this phone/fax; confirm routing before use.

Dental services vendor per Medicaid manual vendor table.

EDI phone for electronic transactions including 278 prior authorization; Molina EDI Payer ID 20934; claims status and questions via Availity.

Evolent phone options: Medical Oncology 1, Radiation Oncology 2, Cardiology 3. Molina is digital-first; Availity preferred for PA.

Member Appeals & Grievances (members or authorized representatives). Phone is the member services line (TTY 711).

MTM NEMT for HealthChoice Illinois members (D-SNP: (844) 644-6353). Facilities requesting discharge transport use (855) 740-3105.

Fax Provider Claims Disputes with a completed Claims Dispute Form (one claim per dispute); Availity preferred. CDs with medical records go to the mailing address.

Provider Relations team for Molina Healthcare of Illinois; pharmacy page lists the same number and email for Medicaid and Marketplace provider assistance. PA questions also 8 a.m.-5 p.m. CT M-F per manual.

Report critical incidents and suspected abuse/neglect/exploitation to the Molina Quality team.

Vision vendor per Medicaid manual vendor table.

Provider screening and enrollment contact per Nebraska Medicaid PSE directory (May 2024).

Molina Healthcare of Nevada Medicaid provider contracting as listed by Nevada Medicaid (member services (833) 685-2102). Molina's own Nevada provider pages could not be retrieved without JavaScript.