Medicare AdvantageAdministrativeMedium impact
Fourth Quarter 2021
Molina Healthcare·Provider Bulletin
Effective date
Jan 1, 2022
We identified it
Jun 19, 2026
Summary
Molina Healthcare's Q4 2021 provider bulletin introduces multiple program updates including a new wellness incentive program starting January 1, 2022, mandatory Model of Care training due November 30, 2021, balance billing prohibitions, and EPSDT program requirements for pediatric Medicaid members.
Action Required
By November 30, 2021: PCPs and high-volume specialists (Cardiologists, Oncology/Hematology, Psychiatry) must complete Molina's Model of Care training and return attestation form. Starting January 1, 2022: Encourage Molina Marketplace members 18+ to complete wellness exams and Health Risk Assessments for $50 gift card incentive. Ensure compliance with balance billing prohibitions - only collect copays, coinsurance, and deductibles from Molina members.