MedicaidAdministrativeMedium impact
Provider Bulletin 07-22-2025 Federally Qualified Health Centers Encounters IE LA SAC SD
Molina Healthcare·CA · Family Medicine, Internal Medicine, General Practice +1 more·Provider Bulletin
Effective date
Jul 22, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California has clarified encounter submission requirements for Federally Qualified Health Centers (FQHCs) serving Medi-Cal patients. Providers must use different payer IDs for fee-for-service claims (38333) versus encounter submissions (33373), with options to submit through SSI clearinghouse or SFTP.
Action Required
Immediately: FQHC billing teams in affected California counties must verify clearinghouse is configured with correct Molina payer IDs - use 38333 for FFS claims and 33373 for encounters. Contact clearinghouse vendor to update configuration if needed. Providers contracted through IPA/Medical Groups should coordinate with their delegated entity for proper submission.