provider services
Provider Contact Center / Provider Relations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Provider Relations and the Plan Provider Contact Center (claims questions, credentialing, quality).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
claims
Paper claims mailing and claims questions
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Claims questions via Availity chat or the Provider Contact Center. EDI payer ID CHCPI. Timely filing one calendar year from DOS/discharge.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
appeals grievances
Provider appeals and grievances (contracted and non-contracted)
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Provider appeals must be filed within 60 calendar days of the adverse determination.
prior authorization
Outpatient prior authorization — Medicare
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Molina Medicare Q2 2026 PA guide hosted on the CHP site; Availity portal preferred. Use the PA look-up tool for code requirements.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Inpatient authorization (including behavioral health)
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Inpatient and behavioral health inpatient authorizations.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Post-acute authorization (SNF, LTAC, acute rehab)
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. All post-acute requests.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
pharmacy prior auth
Part D pharmacy authorizations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Part D coverage determinations.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
fax prior auth
Part B healthcare-administered drug authorizations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Medical-benefit (Part B) drug requests.
prior authorization
Advanced imaging authorizations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Advanced imaging requests.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Transplant authorizations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Transplant requests.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
prior authorization
Peer-to-peer review requests
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Peer-to-peer line listed for inpatient, post-acute and outpatient denials.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Electronic claims, referral/authorization transactions, encounters and 835 ERA setup.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. EFT/ERA/835 enrollment and payment delivery questions through ECHO Health (vendor).
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Network contracting inquiries.
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.
email other
Provider add/term/roster updates
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Provider additions, terminations and roster submissions.
case management
Care management referrals and escalations
Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Care management fax and escalation email.
DialClerk Directory