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Molina Medicaid Solutions
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Web Announcement:  ICD-10 is coming, will you be compliant? The U.S. Department of Health and Human Services (HHS) has issued a final rule to move from the currently used International Classification of Diseases (ICD-9) to the next generation of ICD-10 code sets by October 1, 2014. Click here for more information concerning ICD-10 and how this affects NJMMIS and your Medicaid claim submission. Click here for searchable ICD-10 Diagnosis Code and Surgical Procedure Code files.
New: Important Information for Providers and Submitters about NPI Mapping Click here to access Important information regarding NPI mapping
Payment Error Rate Measurement (PERM) - Acessing Information
Click here to access information relating to Payment Error Rate Measurement (PERM) processing.
Payment Error Rate Measurement (PERM) - Important Information
Click here for important information regarding Payment Error Rate Measurement (PERM).
The Molina Medicaid Solutions Provider Services Department provides comprehensive training services to the provider community. The Provider Training Unit educates and updates providers on current Medicaid billing procedures, problems and claim processing. The training sessions are held at Molina Medicaid Solutions, provider sites, or other locations throughout the State of New Jersey. For inquires or to register for training, contact the Molina Medicaid Solutions Provider Call Center at 1-800-776-6334.
HIPAA Companion Guides. For a copy of any of the latest Guides, right mouse click on one of the following links, select the 'Save Target As...' option from the pop-up menu, and then specify the location on your hard drive where the file should be saved.
  • 5010 HIPAA Companion Guide (4,217 KB) Updated April 2013
  • 837/835/277P Technical Update (178 KB) refreshed for next "as needed update"
  • 5010 HIPAA 270/271 Companion Guide (1,606 KB, for MEVS Switch Vendors only) Updated April 2013
  • 270/271 Technical Update (196 KB) refreshed for next "as needed update"
  • Pharmacy NCPDP D.0/1.2 Payer Sheet (1597 B) Updated April 2013
  • NCPDP D.0/1.2 Technical Update (174 KB) refreshed for next "as needed update"
  • 5010 HMO Systems Guide (7939 kb) Updated April 2013 
  • HMO Encounters Technical Update (175 KB) refreshed for next "as needed update"
    • For information on submitting HIPAA claims via the Molina Medicaid Solutions Bulletin Board System (BBS) screens, please click here.
    For HIPAA Information, please refer to the 'Frequently Asked HIPAA Questions' and continue to send in your questions to njmmis-hipaa2@molinahealthcare.com.