> ## Documentation Index
> Fetch the complete documentation index at: https://mso.getlemma.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Molina Healthcare

> Molina profile: Medicaid managed care focus, state-specific plans, and the two-layer enrollment requirement.

**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.**

## Who they are

|                   |                                                                    |
| ----------------- | ------------------------------------------------------------------ |
| **Parent**        | Molina Healthcare, Inc.                                            |
| **Core business** | **Medicaid managed care**                                          |
| **Other lines**   | Marketplace, Medicare Advantage, dual eligible special needs plans |

## Plan types on the card

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

## Enrollment and credentialing

Through [**molinahealthcare.com**](https://www.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.

## The two-layer requirement

State Medicaid agency enrollment **plus** the Molina contract. See [Enroll in state Medicaid](/guides/enrollment/enroll-in-medicaid).

## EDI, ERA, and EFT

Per state plan; payer IDs differ by state.

## Appeals

Plan appeal, then the state fair hearing process.

## 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


## Related topics

- [The US payer landscape](/concepts/payments/the-payer-landscape.md)
- [Payers vs insurance companies (they're not synonyms)](/concepts/payments/payers-vs-insurance-companies.md)
- [Enroll and contract with commercial payers](/guides/enrollment/enroll-with-commercial-payers.md)
- [Set up EDI, ERA, and EFT with each payer](/guides/enrollment/set-up-edi-era-eft.md)
- [File appeals](/guides/billing/file-appeals.md)
- [How to use the payer reference](/reference/payers/overview.md)
- [Payer enrollment & submission links](/reference/payers/enrollment-links.md)
- [Timely filing limits by payer](/reference/payers/timely-filing-limits.md)