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Effective 07/01/12, CPIDs 1951 and 2239 Molina Healthcare of Missouri discontinued claims processing for claims with dates of service on or after 07/01/2012. Molina Healthcare of Missouri will continue to accept and process claims with dates of service on or before 06/30/12 and will have an 18-month run-out period for claims processing.

Claims with dates of service 07/01/2012 and after may be submitted as Missouri Medicaid claims or to one of the following Managed Care health plans:

Payer Name: Healthcare USA
Payer ID: 25133
CPIDs: 8538
Version Code/Transaction Type: 5010/Institutional Claims
Payer Agreement Required: No
Provider Testing Required: No

Payer Name: Healthcare USA
Payer ID: 25133
CPIDs: 1837
Version Code/Transaction Type: 5010/Professional Claims
Payer Agreement Required: No
Provider Testing Required: No

Payer Name: MissouriCare
Payer ID: 43179
CPIDs: 5969
Version Code/Transaction Type: 5010/Institutional Claims
Payer Agreement Required: No
Provider Testing Required: No

Payer Name: MissouriCare
Payer ID: 43179
CPIDs: 1479
Version Code/Transaction Type: 5010/Professional Claims
Payer Agreement Required: No
Provider Testing Required: No

The clearinghouse is currently in the process of establishing a connection for Home State, another Managed Care health plan to which you may submit claims. A notification will be sent when this connection is available.

Action Required: Please submit claims with dates of service on or after 07/01/2012 as Missouri Medicaid claims or to one of the listed Managed Care health plans. For claims with dates of service on or before 06/30/12, please continue to submit to Molina Healthcare of Missouri.

Please be aware of these invalid claim payer rejection messages.

If you have any questions, please contact Client Services at 1-888-348-8457, option 2.

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