MedicaidAdministrativeHigh impact
Quarter 1 - 2025
Molina Healthcare·CA·Provider Bulletin
Effective date
Jul 1, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California's Q1 2025 provider newsletter includes a critical NCQA credentialing change effective July 1, 2025, requiring all provider licenses to be current or face network termination. The newsletter also emphasizes quarterly provider data validation requirements and Model of Care training deadlines.
Action Required
By July 1, 2025: All providers must ensure medical licenses are renewed before expiration date to avoid automatic termination from Molina network. By March 31, 2025: PCPs and high-volume specialists (hematology/oncology, psychiatry, cardiology) must complete Model of Care training at MolinaHealthcare.com. Ongoing: Validate provider information in CAQH portal every 90 days and notify Molina 30 days in advance of any practice changes to avoid removal from provider directory.