MedicaidAdministrativeLow impact
07-21-2026 Provider Bulletin Summary IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Aug 14, 2026
We identified it
Jul 28, 2026
Summary
Molina Healthcare of California is implementing a bi-weekly Provider Bulletin distribution schedule (every other Tuesday) starting July 21, 2026, and launching a redesigned website on August 14, 2026. Additionally, updates to Availity portal capabilities, timely access standards, Medi-Cal Rx enrollment requirements, and provider dispute processes are now available. Providers must actively review bulletins online for compliance as summaries are not substitutes for full policy details.
Action Required
REQUIREMENTS:
- By August 14, 2026: Billing team and providers should familiarize themselves with the redesigned MolinaHealthcare.com website to access updated provider resources, prior authorization tools, and claims submission portals.
- Immediately: Designate a staff member to review Provider Bulletins posted every other Tuesday on the MolinaHealthcare.com provider website or Availity Essentials portal to identify any compliance or billing requirement changes.
- On an ongoing basis: Review bulletins for line of business affecting your practice (Medi-Cal, Marketplace, Medicare) at the specific URLs provided. Subscribe to email notifications via the Qualtrics form to ensure timely awareness of updates.
- As needed: Use the Availity Essentials portal enhancements (multi-provider workspace, consolidated roster generation, larger reports) to improve billing efficiency and claim submission processes.
- For disputes: Continue submitting provider claims disputes via Availity Essentials Portal as the preferred method, with fax and mail as alternatives. Ensure disputes are submitted within specified timelines per the Provider Disputes bulletin (07/16/2026).
- No immediate billing system changes are required, but stay alert for subsequent bulletins that may contain billing code, coverage, or reimbursement changes.