Medicare AdvantageCoverageMedium impact
Q1 2024 Provider Newsletter
Molina Healthcare·NY·Provider Newsletter
Effective date
Jan 1, 2024
We identified it
Jun 19, 2026
Summary
Molina Healthcare Q1 2024 newsletter provides updates on electronic claims submission requirements, Part B drug step therapy changes with new preferred medications, and formulary removals with alternative drugs for 2024.
Action Required
Immediately: Review updated 2024 Part B Step Therapy Grid at MolinaHealthcare.com and update billing procedures to try preferred medications before non-preferred ones for new therapies. Update drug formulary references to reflect 2024 removals and alternatives (PRALUENT removed - use Repatha, VIIBRYD starter kit removed - use vilazodone tabs, etc.). Continue prioritizing electronic claims submission through Availity Essentials portal or EDI clearinghouse to reduce delays and operational costs.