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Molina HealthCare Washington

Part of Molina Healthcare, Inc.

Medicaid managed caredentalmedical
Typical enrollment turnaround
60-90 days

Summary

Molina HealthCare Washington is a Medicaid managed care organization, part of Molina Healthcare, Inc., offering dental and medical coverage operating in Washington. Claims route under payer ID 38336, with 7 alternate IDs in use across clearinghouses. Provider enrollment typically takes 60-90 days, with applications through Molina WA Provider Portal, and CAQH is used for credentialing data. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
38336Also seen as 10253, 1863, 38336MA, 43174, MLNWA, MOLINA_WA and 1 more
Also known as
Molina Healthcare Washington, Molina Healthcare of Washington Encounters
Uses CAQH
YesApplication route: Payer portal application
Service area
WA

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Molina HealthCare Washington?
The payer ID for Molina HealthCare Washington is 38336. Alternate IDs seen across clearinghouses include 10253, 1863, 38336MA, 43174.
How long does Molina HealthCare Washington provider enrollment take?
Molina HealthCare Washington provider enrollment typically takes 60-90 days from application to effective date. Timelines vary by state, plan, and how complete the application is.
Does Molina HealthCare Washington require CAQH?
Yes. Molina HealthCare Washington uses CAQH for credentialing data, so keep the provider's CAQH profile current and attested before applying.
Does Molina HealthCare Washington require ERA enrollment?
Yes. Molina HealthCare Washington requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Molina HealthCare Washington cover?
Molina HealthCare Washington operates in WA. Coverage can differ by plan and product line, so confirm the specific plan before you file.

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.