Molina Healthcare Inc · NYSE:MOH
Molina Healthcare — Investor Presentation (August 2026)
31 slides from Molina Healthcare's investor presentation, August 2026
Slide 1: Children's Medical Services (CMS) Plan by Molina Healthcare and HHAeXchange
Children’s Medical Services (CMS) Plan by Molina Healthcare and HHAeXchange CMS Plan Town Hall August 2026
Slide 2: Introduction
Introduction Welcome to the Molina Healthcare of Florida Children’s Medical Services Health Plan | HHAeXchange Town Hall Molina Healthcare Inc., is a Fortune 500 company, that provides managed healthcare services under the Medicaid, Medicare and state insurance marketplaces. Molina Healthcare of Flo
Slide 3: Molina and HHAeXchange Speakers
Molina and HHAeXchange Speakers • Nicole Pagliaro - Director, HP Provider Relations – North Florida • Katia Matos - AVP, Healthcare Services • Daniel Spurlock - Sr. Director, Customer Success • Fernando Mensa - Customer Success Manager
Slide 4: Agenda
Agenda What’s Changing for Molina 1 Healthcare CMS Plan 5 Missed Visit Reporting 2 Molina Contracting/Credentialing 6 Third Party Provider Impact Provider Landscape and Getting 3 Started 7 Plan of Care 4 Molina Provider Responsibilities 8 Provider Resources
Slide 5: What's Changing For Molina Healthcare CMS Plan
1 What’s Changing For Molina Healthcare CMS Plan
Slide 6: Coastal Care and HHAeXchange
Coastal Care and HHAeXchange How the organizations work together and who handles each service under SMMC and CMS HOW COASTAL AND HHAX WORK TOGETHER WHO HANDLES WHAT BY PLAN Responsibilities for Coastal Care and Molina across SMMC and CMS 1 Contracting partner The provider contracts with Coastal SMMC
Slide 7: What's Changing and Why It Matters
What’s Changing and Why It Matters Molina Healthcare was selected by the Florida Agency for Health Care Administration (AHCA) as the sole provider for the state's Children's Medical Services (CMS) Health Plan • CMS Plan members will be discharged from the Sunshine Children’s Medical Services contrac
Slide 8: How Compliance is Now Being Tracked
How Compliance is Now Being Tracked • FL Payers are measured on EVV What Counts Toward compliance rates across their entire Compliance: provider network • Your agency’s EVV performance • EVV data captured at the time of directly impacts your payer’s network the visit score with the state • EVV data
Slide 9: Molina Contracting/Credentialing
2 Molina Contracting/Credentialing
Slide 10: How to Join Molina Healthcare of Florida's Network
How to Join Molina Healthcare of Florida’s Network ! The Molina Provider Portal is a free tool for provider enrollment and credentialing; all network credentialing requests must be submitted electronically. Before you request to join the network for CMS Program participation, the provider must be en
Slide 11: Already Contracted? Update Your Information Online
Already Contracted? Update Your Information Online Choose the path that matches your portal status FIRST-TIME USER EXISTING USER Get your portal credentials Sign in and make updates First time user of our new online provider portal? Existing users of our online provider portal: Please Please click h
Slide 12: Provider Landscape and Getting Started
3 Provider Landscape and Getting Started
Slide 13: Existing Providers
Existing Providers Existing Providers What you need to do • Existing Providers who already use • If you use HHAeXchange but you’re new to HHAeXchange will continue to use their Molina Healthcare, HHAeXchange will link you existing account. Existing providers will receive to Molina automatically. new
Slide 14: New to HHAeXchange – Self-Registration
New to HHAeXchange – Self-Registration New to HHAeXchange? If you provide services for Molina Healthcare and Children’s Medical Services in Florida, but do not have an HHAeXchange Portal you will need to register for your new portal today. You Need to: 1. Complete Self-Registration 2. Look out for y
Slide 15: New to HHAeXchange - Training
New to HHAeXchange - Training Training Resources Prior to using HHAeXchange please ensure you sign up for HHAeXchange University and complete the Sponsored Provider Core Training. Providers using another EVV system can find additional resources by visiting our Third-Party EVV Integration Knowledge B
Slide 16: Molina Provider Responsibilities
4 Molina Provider Responsibilities
Slide 17: EVV Provider Responsibilities and Coordination
EVV Provider Responsibilities and Coordination Home Health Agencies | Private Duty Nursing | Personal Care Services Provider Responsibilities CMS PLAN CARE COORDINATION Verify before the visit Know the assigned Care Manager Confirm CMS Plan eligibility, the authorized service, units, and dates, and
Slide 18: Missed Visit Reporting
5 Missed Visit Reporting
Slide 19: Missed Visit Reporting
Missed Visit Reporting 3rd Party EVV Providers Visit is Scheduled Missed Visit Reported Send Missed Visit to Coordinate Replacement Care Replacement Care When a visit is missed, HHAeXchange Delivered document it immediately in Transmit the missed visit to your third-party EVV system. The visit is sc
Slide 20: Documenting Missed Visits
Documenting Missed Visits Missed Visits can only be documented by agency staff in HHAeXchange. Caregivers cannot document a visit as missed. AHCA COMPLIANCE REQUIREMENT 1. Locate the Visit on the member’s calendar and update the status to Missed Visit. 2. Document the Reason and Action Taken. QR Doc
Slide 21: PDN Missed Visits Table
PDN Missed Visits Table Visit Change OPTION Missed Visit Reason 1 - Provider Cancellation Missed Visit Reason 2 - Provider No-Show Missed Visit Reason 3 - Enrollee Cancellation Missed Visit Reason 4 - Enrollee No-Show Missed Visit Reason 5 - Scheduling Error due to Enrollee Missed Visit Reason 6 - S
Slide 22: Third Party Provider Impact
6 Third Party Provider Impact
Slide 23: New Molina Specific Missed Visit Import
New Molina Specific Missed Visit Import • Missed Visit reporting is an AHCA Key Information requirement. AHCA requires reporting • A separate V5 import file specifically for reporting missed visits will be required. of Missed Visits as close to real time as • The file format is the same, but the nam
Slide 24: POC Impact on 3rd Party providers
POC Impact on 3rd Party providers • As part of the Molina POC reporting request, additional Duties are being added to HHAeXchange. • 3rd Party Providers will need to work with their EVV Vendors to add any new duties in the V5 Visit Import process under the "Duties" field for their respective visit.
Slide 25: Missed Visit Reporting Readiness Key Reminders
Missed Visit Reporting Readiness Missed Visit Reporting Key Reminders Missed visits must be documented as soon as identified If using a third party EVV Vendor, make sure EDI vendors transmit Missed visit file to HHAeXchange as close to real time as possible. Multiple files can be submitted the sam
Slide 26: Plan of Care
7 Plan of Care
Slide 27: Plan of Care (POC) Duties Task
Plan of Care (POC) “Duties” “Task” • Starting 10/1/2026 Molina requests QR providers submit their POC reporting for all services Creating a New POC Adding POC to Schedule © 2026 HHAeXchange 27
Slide 28: Plan of Care
Plan of Care Caregiver Documentation Caregivers will document task performed at the time of clock out QR Caregiver Mobile App POC Documentation QR Caregiver IVR POC Documentation © 2026 HHAeXchange 28
Slide 29: Provider Resources
8) Provider Resources
Slide 30: Molina Contact List
Molina Contact List Contact Molina Support Area Health for Program, Contact Contracting & Operational Information Support Provider Relations Please contact your Provider Relations Representative Representatives Provider Relations Contact List Provider Services (855) 322-4076 Care Management MemberSu
Slide 31: HHAeXchange Resources
HHAeXchange Resources Visit the Provider Info Hub For the most update information and resources on the CMS Transition Visit the Knowledge Base training material, how to videos and step by step instructions Please select Molina as the payer for support tickets and indicate the ticket is related to th
Molina Healthcare — Investor Presentation (August 2026) on 6ix