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Molina Healthcare·MS · OB-GYN, Family Medicine, General Practice·Provider Bulletin
Effective date
Dec 7, 2018
We identified it
Jun 19, 2026
Summary
Molina Healthcare of Mississippi has streamlined their newborn delivery prior authorization process by eliminating the requirement for PA forms for normal deliveries (CPT 59410, 59515), and updated their claims management to return claims with missing or incorrect member information effective December 7, 2018.
Action Required
Immediately: Stop submitting prior authorization forms for normal newborn deliveries using CPT codes 59410 and 59515. Billing team must ensure all claims include correct and complete member information before submission, as claims with missing/incorrect information will be returned and require resubmission (not adjustments). Only submit PA forms for deliveries exceeding normal 3-day vaginal or 5-day C-section stays.