Provider Online Directory Requirements for Marketplace

This document is a provider memorandum issued by Molina Healthcare of Illinois, Inc., outlining the requirements for maintaining an accurate Provider Online Directory (POD) for Marketplace providers. Effective April 1, 2023, as per the Department of Insurance requirement, the memorandum details the processes and procedures that providers must follow to ensure compliance with regulatory standards. It specifies that both newly contracted and existing credentialed physicians, healthcare professionals, facilities, and ancillary providers must provide accurate demographic information. The document instructs provider groups and facilities to complete the Universal IAMHP roster or the Provider Information Update form and submit them to Provider Network Management. Additionally, it emphasizes the importance of updating incorrect or outdated information, verifying contact details, and listing services offered. The memorandum also mentions the transition from the Molina Legacy Provider Portal to the Availity Essentials Provider Portal for improved claims management and other functionalities.