MedicaidAdministrativeHigh impact
Provider Bulletin 11-07-2025 Hospice Services APL 25-008 IE LA SAC SD
Molina Healthcare·CA · Palliative Care, Family Medicine, Internal Medicine +1 more·Provider Bulletin
Effective date
Nov 7, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California now requires all providers delivering care to hospice members to be participating providers, effective immediately. Non-participating providers will have claims denied and redirected to capitated provider groups in Sacramento, Los Angeles, Riverside, and San Bernardino Counties.
Action Required
Immediately: Verify your practice is a participating provider with Molina Healthcare for hospice services. If not contracted, coordinate care with a Molina participating provider to avoid claim denials. Billing team must ensure all hospice claims include required documentation: DHCS Hospice Election Notice form, Hospice Certification for Terminal Illness, written prescription referral from attending physician, provider license/Medicare certification/NPI/Medi-Cal enrollment copies, and face-to-face encounter attestation for third benefit period and beyond. Submit documentation via fax to (339) 987-4487 or claims will be denied.