Medicare AdvantagePrior AuthHigh impact
31468 KY 2025 Q4 Provider Newsletter v1 2778
Molina Healthcare·KY·Provider Newsletter
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Passport by Molina Healthcare's Q4 2025 provider newsletter includes major changes: prior authorization turnaround times will be reduced to 7 calendar days for Medicare D-SNP and Marketplace plans starting January 1, 2026, and UM letters are now available digitally through Availity Essentials. Providers must ensure complete clinical documentation is submitted with prior auth requests to avoid delays.
Action Required
Before January 1, 2026: Billing team must review and update prior authorization submission processes to ensure all required clinical documentation is included with initial requests for Medicare D-SNP and Marketplace plans. Access UM letters through Availity Essentials instead of paper. Providers should complete Model of Care training by December 31, 2025 at MolinaHealthcare.com/model-of-care-Provider_Training. Incomplete documentation will cause delays in the new 7-day processing timeline.