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10-16-2026 Important information impacting claims payment for urgent care centers
Act
by Oct 30, 2026
Effective date
Jan 1, 2027
Identified
Oct 21, 2026
Summary
Molina Healthcare of California requires all urgent care centers to submit a roster of their providers by October 30, 2026, and quarterly thereafter. Effective January 1, 2027, urgent care centers must submit claims documenting the rendering provider instead of billing at the facility level. Nurse Practitioners must include a supervising physician on claims.
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What to do
by Oct 30, 2026 · 4 steps
01Urgent care center providers must submit their first provider roster in Standard ICE Roster format to PRCalifornia@molinahealthcare.com to avoid claims payment delays.
02Billing team must ensure all rendering providers are registered in the roster before January 1, 2027, when facility-level billing will no longer be accepted.
03Beginning January 1, 2027: Billing team must submit all claims with individual rendering provider information and include supervising physician information for Nurse Practitioner claims.
04Provider Relations will contact to discuss submission process and answer questions.
Original notice
10-16-2026 Important information impacting claims payment for urgent care centers
molinahealthcare.com · Always check the source before changing claims.