Medicare AdvantageAdministrativeMedium impact
Q4 2024 Provider Newsletter
Molina Healthcare·NY · Family Medicine, Internal Medicine, General Practice +4 more·Provider Newsletter
Effective date
Dec 31, 2024
We identified it
Jun 19, 2026
Summary
Molina Healthcare of New York has updated their Q4 2024 provider newsletter with several key changes: PCPs and high-volume specialists must complete Special Needs Plans Model of Care training by December 31, 2024, and new guidance is provided on third-party liability refunds appearing on explanation of payments. The newsletter also includes comprehensive 2024-2025 flu season vaccination guidelines and EPSDT program requirements for pediatric members.
Action Required
By December 31, 2024: Primary care providers and key specialists (Cardiologist, Gynecologist, Endocrinologist) must complete Molina's Special Needs Plans Model of Care training at MolinaHealthcare.com/model-of-care-Provider_Training and submit attestation forms. Contact SWHNY-ProviderRel-NY@MolinaHealthcare.com for questions. Billing team should note that TPL refunds showing $0.00 amounts with WO/72 adjustments on 835s do not represent actual recoupments from provider payments.