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10-30-2026 Reminder: Important information impacting claims payment for urgent care centers
Effective date
Jan 1, 2027
Identified
Nov 4, 2026
Summary
Molina Healthcare of California requires all urgent care centers to submit a roster of rendering providers Previously due October 30, 2026 (date passed; verify current applicability) (a past deadline as of the analysis date). Starting January 1, 2027, claims must document the individual rendering provider instead of billing at the facility level only. Nurse Practitioners must include a supervising physician on the claim.
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What to do
Action · 8 steps
01For Molina Healthcare of California in the seven listed counties (Imperial, Riverside, San Bernardino, Los Angeles, Orange, Sacramento, San Diego): The October 30, 2026 roster submission deadline has elapsed.
02Billing team should.
03Confirm whether the practice already submitted the provider roster to CAProviderRelations@MolinaHealthcare.com in Standard ICE Roster format; if not, contact Molina Provider Relations immediately to submit a current roster.
04Effective January 1, 2027, update charge entry and claim submission processes to require rendering provider name and credentials on all urgent care claims (not facility-level billing only).
05For claims where the rendering provider is a Nurse Practitioner, ensure the supervising physician name and credentials are also documented and included on the claim.
06Tell providers and front desk staff that individual provider information (not facility-only billing) must be collected at check-in and entered into the billing system before January 1, 2027 takes effect.
07Watch for Molina's next notice confirming the quarterly roster submission schedule and due dates going forward.
08Claims submitted on or after January 1, 2027 without documented rendering provider information will be denied.
Original notice
10-30-2026 Reminder: Important information impacting claims payment for urgent care centers
molinahealthcare.com · Always check the source before changing claims.