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Credentialing by payer

Join the Molina Healthcare Network

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Commercial plans

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  • Flat PricesNo percentage of collections
  • Half Now, Half at SubmissionFor every enrollment application
  • Closed Network?Your choice of a refund or a credit
  • Live Status TrackingCheck any application by reference number

Molina Healthcare at a Glance

Service areaState-by-state Medicaid, CHIP and Marketplace plans; each state has its own join page.
How to request to joinA contract request per state: in Nevada a Contract Request Form emailed to NVProviderContracting@MolinaHealthcare.com; in Florida a Contract Request on Molina's online provider portal. Start here
PortalAvaility Essentials (eligibility, claims and prior authorization)
CAQH ProView (DataSpring)A separate practitioner application is needed only when there is no updated, attested CAQH (DataSpring) profile.
Published turnaroundCredentialing may take up to 90 calendar days (Nevada).
RecredentialingEvery three years or sooner, with facility site reviews at recredentialing (California Medi-Cal manual).
Lines of businessMedicaid and CHIP (for example Nevada Check Up), Florida Statewide Medicaid Managed Care and the Children's Medical Services Program, and Marketplace.

How Molina Healthcare Takes Applications

Molina contracts and credentials state by state, so a Nevada contract does nothing for a Florida location. Each state plan needs proof of state Medicaid enrollment: an active Nevada Medicaid ID, or a Medicaid ID issued by Florida's Agency for Health Care Administration.

What to Watch With Molina Healthcare

Vision and pharmacy are carved out: vision providers go through VSP (iCare for Florida Medicaid vision) and pharmacies through CVS Caremark. Florida applicants who received a CMS recruitment letter should put its reference number in the portal request.

Whatever the plan, the file moves only when your CAQH (DataSpring) profile, license record and application agree. See how long credentialing takes and our CAQH profile setup service.

Questions About Molina Healthcare

How do I apply to Molina Healthcare?

A contract request per state: in Nevada a Contract Request Form emailed to NVProviderContracting@MolinaHealthcare.com; in Florida a Contract Request on Molina's online provider portal.

How long does Molina Healthcare credentialing take?

Credentialing may take up to 90 calendar days (Nevada). Recredentialing: Every three years or sooner, with facility site reviews at recredentialing (California Medi-Cal manual).

Does Molina Healthcare use CAQH (DataSpring)?

A separate practitioner application is needed only when there is no updated, attested CAQH (DataSpring) profile.

What does PECS charge for a Molina Healthcare application?

$200 per application per provider, half at engagement and half at submission, including follow-up with Molina Healthcare until the effective date is set.

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Question About Molina Healthcare Credentialing?

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Answers cover PECS services, prices and process. For legal, tax or clinical questions please consult a professional.

Sources

Facts checked against the sources above in October 2026; plan procedures change.

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