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.
Leading Medicaid managed care organization with strong presence in 22 states, particularly focused on underserved populations. Ranked 126th on the 2023 Fortune 500 list.
Everything you need to know about contracting with Molina Healthcare for behavioral health services
Coverage details & levels of care
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
Current network needs and priority areas for facility contracting with Molina
Current Network Needs
Seeking facilities in underserved rural areas and for specialized services
High-demand service areas and locations
Available Incentives
Enhanced rates available for facilities in underserved areas and specialized programs
Molina Healthcare provides coverage in 22 states across the United States
22 states nationwide
Corporate Headquarters
Long Beach, California
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
50+
Clients Served
15+
Years Experience
95%
Success Rate
50
States Covered