| Molina Healthcare List of States - Medicare | Payer ID | Molina Healthcare Claim Address - Medicare | Molina Healthcare Phone Number - Medicare | Molina Healthcare Timely Filing Limit - Medicare |
|---|---|---|---|---|
| Molina Healthcare of California - Medicare (Medicare Advantage) | 38333 | PO Box 22702 Long Beach, CA 90801 | Provider Services: 800-675-6110 Member Services: 800-665-0898 | One calendar year from the DOS |
| Molina Healthcare of Florida - Medicare (Molina Medicare Option Plus) | 51062 | PO Box 22811 Long Beach, CA 90802 | Provider Services: 855-322-4076 Member Services: 866-553-9494 | One calendar year from the DOS |
| Molina Healthcare of Idaho - Medicare (Molina Medicare Coordinated Plan) (Medicare Option HMO) | 61799 | PO Box 22617 Long Beach, CA 90801 | Provider Services: 844-239-4914 Member Services: 844-239-4913 | 365 days from the DOS |
| Molina Healthcare of Michigan - Medicare (Medicare Advantage) | 38334 | PO Box 22668 Long Beach, CA 90801 | Provider Services: 855-322-4077 Member Services: 800-665-3072 | One calendar year from the DOS |
| Molina Healthcare of New Mexico - Medicare (Molina Medicare Option Plus) | 09824 | Not Accepted | Provider and Member Services: 866-440-0127 | One calendar year from the DOS |
| Molina Healthcare of Ohio - Medicare (Molina Medicare Option Plus) | 20149 | PO Box 22712 Long Beach, CA 90801 | Member and Provider Services: 866-472-4584 | One calendar year from the DOS |
| Molina Healthcare of South Carolina - Medicare (Molina Medicare Complete Care) | 46299 | PO Box 22664 Long Beach, CA 90801 | Provider Services: 855-237-6178 Member Services: 844-526-3195 | 365 Calendar days from the DOS |
| Molina Healthcare of Texas - Medicare (Molina Medicare Option Plus) | 20554 | Not Accepted | Provider Services: 855-322-4080 Member Services: 866-440-0012 | One calendar year from the DOS |
| Molina Healthcare of Utah - Medicare (Molina Medicare Option Plus) | SX109 12X09 | Not Accepted | Member Services: 866-449-6817 ( Medicare Option Plus) 877-644-0344 (Healthy Advantage) Provider Services: 866-449-6817 | 365 days from the DOS |
| Molina Healthcare of Washington - Medicare (Medicare Advantage) | 38336 | Not Accepted | 800-665-1029 | 180 days from DOS |
| Molina Healthcare of Wisconsin - Medicare (Medicare Advantage) | ABRI1 | Not Accepted | Provider Services: 855-326-5059 Member Services: 855-315-5663 | One calendar year from the DOS |
| Molina Healthcare List of States - Medicaid | Payer ID | Molina Healthcare Claims addres - Medicaid | Molina Healthcare Phone Number - Medicaid | Molina Healthcare Timely Filing Limit - Medicaid |
|---|---|---|---|---|
| Molina Healthcare of Florida - Medicaid | 51062 | PO Box 22812 Long Beach, CA 90801 | Member Services: 866-472-4585 Claims Department: 855-322-4076 800-955-8771 | 6 Months from the DOS |
| Molina Healthcare of Illinois - Medicaid | 20934 | PO Box 540 Long Beach, CA 90801 | Provider services: 855-866-5462 Member Services: 855-687-7861 (HealthChoice) 877-901-8181 (MMP) | 180 Calendar Days from the DOS |
| Molina Healthcare of Michigan - Medicaid/MIChild | 38334 | PO Box 22668 Long Beach, CA 90801 | Member and Provider Services: 855-322-4077 | 1 Calendar Year from the DOS |
| Molina Healthcare of Mississippi - Medicaid MCAN/CHIP | 77010 | PO Box 22618 Long Beach, CA 90801 | Provider services: 844-826-4335 Member Services: 844-809-8438 | 180 Calendar Days from the DOS |
| Molina Healthcare of New Mexico - Medicaid | 09824 | PO Box 22801 Long Beach, CA 90801 | Provider services and Member Services: 855-322-4078 | 120 Calendar Days from the DOS |
| Molina Healthcare of New York - Medicaid(Essential Plan) | 16146 | PO Box 22615 Long Beach, CA 90801 | Provider Services: 877-872-4716 Member Services: 800-223-7242 | 90 Calendar Days from the DOS |
| Molina Healthcare of Ohio - Medicaid | 20149 | PO Box 22712 Long Beach, CA 90801 | Provider Services: 855-322-4079 | 120 Calendar Days from the DOS |
| Molina Healthcare of Ohio - Medicaid (Dental Claims) | SKYGEN | PO Box 2136 Milwaukee, WI 53201 | Provider Services: 855-322-4079 | 180 Calendar Days from the DOS |
| Molina Healthcare of Puerto Rico - Medicaid | 81794 | PO Box 364828 San Juan, PR 00936-4828 | Provider Services: 888-558-5501 Member Services: 877-335-3305 | 90 Calendar Days from the DOS |
| Molina Healthcare of South Carolina - Medicaid | 46299 | PO Box 22664 Long Beach, CA 90801 | Provider Services: 855-237-6178 Member Services: 855-882-3901 | 12 months from the DOS |
| Molina Healthcare of Texas - Medicaid (STAR, STAR+PLUS, CHIP, CHIP Perinate, Molina Dual Options STAR+PLUS MMP) | 20554 | PO Box 22719 Long Beach, CA 90801 | Provider Services: 855-322-4080 Member Services: 866-449-6849 877-319-6826 (CHIP rural service area) | |
| Molina Healthcare of Utah - Medicaid and CHIP | 12X09 | Not Accepted | Member Services: 888-665-1328 Provider Services: 855-322-4081 | 365 Calendar Year from the DOS |
| Molina Healthcare of Washington - Medicaid | 38336 | Not Accepted | Member Services: 800-869-7165 Provider Services: 855-322-4082 | 180 Calendar Days from the DOS |
| Molina Healthcare of Wisconsin - Medicaid | ABRI1 | Not Accepted | Member Services: 888-999-2404 Provider Services: 855-326-5059 888-999-2404(IVR) | 180 Calendar Days from the DOS |
| Molina Healthcare - MediCal | Payer ID | Molina Healthcare Claim Address - Medi-Cal | Molina Healthcare Phone Number - MediCal | Molina Healthcare Timely Filing Limit - MediCal |
|---|---|---|---|---|
| Molina Healthcare of California - Medi-Cal | 38333 | Not Accepted | Provider Services: 855-322-4075 Member Services: 888-665-4621 | 180 Calendar Days from DOS |
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