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Molina members move to Humana Healthy Horizons July 1; plans, DMAS say prior authorizations and waivers honored during transition
Summary
Humana and DMAS said Molina Medicaid members will be assigned to Humana Healthy Horizons effective July 1, 2025. Humana and DMAS clarified a 60-day continuity-of-care period for existing authorizations; Molina will continue processing prior claims for dates of service before July 1.
Humana Healthy Horizons in Virginia will receive Molina Medicaid members and accept Molina-issued service authorizations during a continuity period, Humana and DMAS representatives said during a June provider Q&A.
Carrie Whitaker, Humana’s director of contract compliance, said Humana will automatically enroll Molina members to Humana effective July 1, 2025, and will provide a 60-day continuity-of-care period during which existing prior authorizations will be honored and members may continue to see…
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