Molina Healthcare

Molina Healthcare is a Medicaid-focused managed care organization operating state-specific plans. Like Centene, you contract with the state plan rather than the parent, and MCO contracting is in addition to state Medicaid agency enrollment. Payer content ages fastest of anything on this site. Portals move, forms change, payer IDs get reassigned, and timely filing limits are contract-specific regardless of what any table says. Treat this page as orientation; the payer’s own current documentation and your executed contract are authoritative. Checked August 2026.

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Who they are

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Plan types on the card

Molina Healthcare of [State] Medicaid plans, Molina Marketplace, and Molina Medicare products including D-SNPs.

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Enrollment and credentialing

Through molinahealthcare.com and the state plan’s provider site. Where the state uses a single credentialing verification organization for Medicaid MCOs, that process may cover Molina.

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The two-layer requirement

State Medicaid agency enrollment plus the Molina contract. See Enroll in state Medicaid.

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EDI, ERA, and EFT

Per state plan; payer IDs differ by state.

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Appeals

Plan appeal, then the state fair hearing process.

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Quirks worth knowing

• Medicaid rates, with the associated margin analysis
• Behavioral health may be carved out depending on the state
• D-SNP products involve both Medicare and Medicaid rules, which complicates coordination of benefits