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MedicaidAdministrativeMedium impact

Q3 2024 Provider Newsletter

Molina Healthcare·KY·Provider Newsletter
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Molina Healthcare's Q3 2024 provider newsletter announces that SSI Group is now their designated clearinghouse for electronic claims submission using payor code MOLINA_KY. Providers must validate their directory information every 90 days through CAQH or risk removal from the provider directory.

Action Required

Action needed
Immediately: Update EDI claims submission to use SSI Group clearinghouse with payor code MOLINA_KY for Molina claims. Billing team must validate provider directory information in CAQH portal every 90 days to maintain network status. Notify Molina 30 days in advance of any practice changes including address, phone, fax, or provider additions/departures.

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