Medicare AdvantageAdministrativeMedium impact
Provider Bulletin 07-24-2025 Alert: Medicare Fraud Scheme Involving Phishing Fax Requests IM IE LA OC SAC SD
Molina Healthcare·CA·Medicare
Effective date
Jul 24, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare is warning providers about fraudulent fax requests claiming to be from CMS demanding patient records within 72 hours. Legitimate CMS medical record requests identify specific patients, provide 30-45 days for response, and come through formal Additional Documentation Request (ADR) processes.
Action Required
Immediately: All staff should be trained to recognize fraudulent fax requests demanding patient records with 72-hour deadlines. Verify any record requests claiming to be from CMS by contacting your Molina Provider Relations Representative before releasing any patient information. Legitimate CMS requests will specify patients, timeframes, and allow 30-45 days for response.