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Regional Carrier · Long Beach, California
Facility Credentialing & Network Participation
Molina Healthcare specializes in government-sponsored healthcare programs, serving over 5.7 million members through Medicaid, Medicare, and Health Insurance Marketplace plans. They focus on providing quality care to financially vulnerable families and individuals, with a strong emphasis on behavioral health integration.
Molina Healthcare payer facts
Market context
Leading Medicaid managed care organization with strong presence in 22 states, particularly focused on underserved populations. Ranked 126th on the 2023 Fortune 500 list.
Payer guide
Molina Healthcare provides comprehensive behavioral health services with a focus on culturally competent care for diverse populations, integrated care models, and addressing social determinants of health. Significant investments in behavioral health infrastructure including $1.25M in Ohio for integrated systems of care.
All treatment settings accepted by Molina
What sets Molina apart
Required credentials for network participation
Prior Authorization
Medical Necessity Criteria
InterQual Behavioral Health Criteria, MCG (formerly Milliman) Guidelines, ASAM Criteria for SUD, State-specific guidelines where applicable
Payment and billing information
Network opportunities
Seeking facilities in underserved rural areas and for specialized services
Enhanced rates available for facilities in underserved areas and specialized programs
High-demand service areas and locations
Coverage area
22 states nationwide
Corporate Headquarters
Long Beach, California
Continue learning
Provider guide
Learn what insurance credentialing is, why it matters, and how to navigate the process to get in-network.
Read moreProvider guide
A practical step-by-step guide for healthcare providers who want to join insurance panels.
Read moreProvider guide
Navigate behavioral health carve-outs and credentialing requirements for major payers.
Read moreProvider guide
Learn how payer contracts work and how to negotiate better reimbursement rates.
Read moreExpert contracting support
Our team specializes in Molina Healthcare contracting for behavioral health facilities. We'll help you secure competitive rates and streamline your credentialing process.
Achieve significantly better reimbursement through expert negotiation
Reduce credentialing timeline from months to weeks
CAQH, state licensing, and accreditation guidance
Your personal contracting specialist throughout the process