MedicaidAdministrativeMedium impact
Q3 2025 Provider Newsletter
Molina Healthcare·NY·Provider Newsletter
We identified it
Jun 19, 2026
Summary
Molina Healthcare of New York has issued their Q3 2025 provider newsletter emphasizing electronic claims submission benefits, mandating provider data validation every 90 days with removal from directory as consequence for non-compliance, and requiring 30-day advance notice for practice changes.
Action Required
Ongoing: Validate all provider information in CAQH portal every 90 days including practice name, addresses, specialties, phone/fax numbers, email, Tax ID, and NPI to avoid removal from Molina Provider Directory. Provider services team must notify Molina at least 30 calendar days in advance of any practice changes including location changes, office hours, new providers, or specialty changes. Billing team should prioritize electronic claims submission through clearinghouses or Availity Essentials portal to reduce delays and improve accuracy.