Molina Healthcare Support Information
|
|
Member Services
|
(888) 483-0797
(304) 348-3365
|
Monday - Friday
8:00 AM - 5:00 PM
|
| Provider Services |
(888) 483-0793
(304) 348-3360 |
Monday - Friday
8:00 AM - 5:00 PM
|
| Pharmacy Help Desk |
(888) 483-0801 |
Monday - Friday
8:00 AM - 5:00 PM
Sunday
12:00 PM - 6:00 PM
|
| Access AVRS using same phone numbers 24/7 |
------------------------------------------------------------------------------------------------
Claim Forms - Mailing Addresses
|
| NCPDP UCF Pharmacy |
PO Box 3765
Charleston, WV 25337
|
|
| UB04 |
PO Box 3766
Charleston, WV 25337
|
|
| CMS-1500 |
PO Box 3767
Charleston, WV 25337
|
|
| ADA-2006 Dental |
PO Box 3768
Charleston, WV 25337
|
|
| Hysterectomy and Sterilization |
PO Box 2254
Charleston, WV 25325-2254
|
|
------------------------------------------------------------------------------------------------
Bureau for Medical Services
|
| Long Term Care |
(304) 356-4900
|
|
| Third Party Liability |
(304) 356-4926
(304) 356-4927
(304) 356-4929
|
|
| Medicare Buy-In |
(304) 356-4882
(304) 356-4910
|
|
| PAAS |
(800) 982-7227
|
|
| PAAS Options |
(800) 449-8466
|
|
| Case Planning Unit |
(304) 558-1776 Fax
|
|
-------------------------------------------------------------------------------------------------
WVMI
|
| Nurse Reviewers |
(800) 982-6334
|
|
| Inpatient |
(888) 298-5144
(304) 346-3669 Fax
|
|
| Home Health |
(888) 298-5144
(304) 346-8185 Fax
|
|
-------------------------------------------------------------------------------------------------
Carrier Lists
|
| Carrier Listing by Name |
Click Here
|
|
| Carrier Listing by Number |
Click Here |
|
------------------------------------------------------------------------------------------------
Disproportionate Share Hospital Survey
|
| SFY 2012 DSH Survey Form |
Click Here |
|