MedicaidAdministrativeMedium impact
Provider Bulletin 02-27-2025 Provider Roster Submission Instructions IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Feb 5, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has updated provider roster submission instructions for capitated Medical Groups and IPAs, introducing new monthly and quarterly submission requirements with specific templates and naming conventions. The policy clarifies submission methods: monthly rosters go to county-specific email addresses while quarterly rosters must be submitted through the D360 system.
Action Required
If your practice is part of a capitated Medical Group or IPA that submits rosters to Molina: 1) Download the new ICE_Provider Network_Roster_Template_2025 effective 2/5/2025 from D360, 2) Follow new naming convention Provider/GroupName_RosterType_Date.xlsx for all submissions, 3) Submit monthly rosters to appropriate county-shared mailbox and quarterly rosters through D360 system, 4) Contact your county-specific Provider Relations Representative for clarification. Fee-for-service providers should verify information in CAQH account.