Medicare AdvantageAdministrativeHigh impact
07-01-2026 2026 Provider Manual Updates IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jul 1, 2026
We identified it
Jul 7, 2026
Summary
Molina Healthcare of California has updated its 2026 Provider Manuals for all lines of business (Marketplace, Medi-Cal, and Medicare) across seven counties. The billing team must review and implement any policy, procedure, and contractual requirement changes contained in these updated manuals, which are effective immediately.
Action Required
Immediately: Billing team must access and thoroughly review the 2026 Marketplace Provider Manual, 2026 Medi-Cal Provider Manual, and 2026 Medicare Provider Manual from the Molina Healthcare provider website. Identify all policy, procedure, billing code, prior authorization, documentation, and reimbursement changes applicable to your practice. Update billing software, encounter forms, credentialing files, and internal workflows to comply with all manual updates. Continue monitoring the Molina provider website for ongoing manual updates throughout 2026 and implement changes as communicated. Document completion of manual review and system updates for compliance records. Contact your Molina Provider Relations Representative immediately if clarification is needed on any manual changes. Failure to implement required changes may result in claim denials and contract violations.