Medicare AdvantageAdministrativeMedium impact
Provider Bulletin 06-20-2025 2025 Risk Adjustment & Health and Human Services Risk Adjustment Data Validation (HHS-RADV) Data Collection IM IE LA OC SAC SD
Molina Healthcare·CA·Provider Bulletin
Effective date
Jun 23, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California is conducting 2025 Risk Adjustment Data Validation (HHS-RADV) medical record collection starting June 23, 2025. Providers will be contacted to submit medical records for selected members to support accurate diagnosis coding and risk adjustment reporting required by CMS.
Action Required
Starting June 23, 2025: Prepare to respond to Molina Healthcare requests for medical records for risk adjustment data validation. When contacted, submit requested member medical records via secure email to MHCHEDISDepartment@MolinaHealthcare.com or coordinate site visits by calling 1-562-517-1689. Ensure all HIPAA, State, and Plan contractual requirements are followed when submitting PHI electronically. Quality Improvement staff will provide member lists with specific record requirements.