Medicare AdvantageAdministrativeMedium impact
Provider Bulletin 12-24-2025 Clinical Contact Information Request IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 2, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California requires all IPAs and MSOs supporting Molina Medicare to provide designated contact information (name, phone, email) for Appeals, Grievances, and QIO functions by January 2, 2026. This is to improve efficiency in handling clinical information requests and denial-related inquiries.
Action Required
By January 2, 2026: IPAs and MSOs must email designated contact information (contact name, direct phone number, email address) for Appeals, Grievances, and QIO functions to their assigned Molina Provider Relations Representative. Use the PRR contact list provided in the bulletin to identify the correct representative for your service area.