ExchangeAdministrativeMedium impact
Provider Bulletin 12-18-2025 2026 Provider Manual Updates IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jan 1, 2026
We identified it
Jun 19, 2026
Summary
Molina Healthcare has published updated Provider Manuals for 2026 covering Marketplace, Medi-Cal, and Medicare lines of business. Healthcare providers must review the new manuals which contain updated policies, procedures, and regulatory requirements that will govern billing and care delivery starting January 1, 2026.
Action Required
Before January 1, 2026: Billing team and providers must download and review the 2026 Provider Manuals from Molina's website for all applicable lines of business (Marketplace, Medi-Cal, and Medicare). Continue using 2025 manuals for remainder of December 2025. Update billing procedures and workflows based on any policy changes identified in the new manuals.