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Molina Healthcare·Provider Bulletin
Effective date
Not stated
We identified it
Jun 19, 2026
Days to comply
—

Summary

Molina Healthcare Q4 2024 newsletter provides updates on Third-party Liability (TPL) refund processing on EOPs, flu vaccine coverage for 2024-2025 season, and EPSDT program requirements. The TPL section clarifies that WO/72 adjustments indicate refunds received by Molina and do not represent recoupments from providers.

Action Required

Action needed
Immediately: Review EOPs/835s for WO/72 adjustments in PLB segments which indicate TPL refunds (not recoupments). Billing team should understand that claims showing $0.00 with TPL remit messages do not decrease provider payments. Ensure flu vaccination coding uses covered vaccines: Afluria, Flublok, Flucelvax products for 2024-2025 season. Providers serving Medicaid members under 21 must inform patients of EPSDT availability and arrange screening services.

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