Molina Healthcare of Texas
Also covers / subsidiaries: Molina Texas, Molina STAR+PLUS
Core Payer & Clearinghouse Profile
Electronic Payer ID
20554
20554 for Molina Healthcare of Texas; some references cite gateway ID 'MCC02'. Confirm with your clearinghouse. (Texas)
Timely Filing Limit (TFL)
95 days from date of service (Texas Medicaid)
Appeal Window
Varies — confirm via portal / clearinghouse
Clearinghouse Gateway
Availity (Essentials portal); The SSI Group (gateway)
Provider Services
855-322-4080
Claims Fax
877-319-6852
Claims Address
Molina Healthcare of Texas, P.O. Box 22719, Long Beach, CA 90801
Provider Portal
https://provider.molinahealthcare.com
Texas Medicaid managed-care plan (STAR+PLUS, STAR, CHIP). Provider complaints & appeals go to P.O. Box 165089, Irving, TX 75016.
National EDI Clearinghouse Capabilities
Direct ANSI X12 electronic transaction support verified for Molina Healthcare of Texas.
Resolution Tools for Molina Healthcare of Texas Claims
Values vary by plan, line of business, and provider agreement. Confirm in the payer portal or with your clearinghouse gateway before submitting electronic claims.
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