MedicaidAdministrativeMedium impact
Provider Bulletin 02-20-2025 SNF, ICF/DD and Subacute Care Facilities Billing Reminder IE LA SAC SD
Molina Healthcare·CA·Claims & Billing
Effective date
Feb 20, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California issued a billing reminder for SNF, ICF/DD and subacute care facilities highlighting three common denial reasons: duplicate billing, missing authorization, and enrollment discrepancies. The bulletin provides best practices to reduce claim denials and improve processing efficiency.
Action Required
Immediately: Before submitting claims to Molina Healthcare of California, billing teams must verify member eligibility and check authorization status through Molina's provider portal at availity.com/molinahealthcare/. Include authorization numbers on all claims requiring prior auth. For duplicate services, submit inquiry on original claim before resubmitting. Reference the ICF/DD Provider Toolkit for additional guidance. Failure to follow these practices will result in claim denials.