The following information is applicable to Los Angeles County only.

Primary care physician (PCP) transfers between Molina Healthcare and Health Net are effective on the first of the following month. Members cannot request a transfer while hospitalized. Retroactive transfers are not allowed unless it is requested by the Department of Health Care Services, or if both parties (Molina/Health Net) agree to the retroactive transfer only.

The following outlines the transfer process of the PCP between Health Net and Molina and between Molina and another Molina PCP:

From Health Net to Molina –

1. Member action: Call Health Net Member Services at 800-675-6110 to request a transfer to Molina.
2. Health Net agent actions:
   • Confirm the member’s intent to transfer to Molin
   • Process the primary care physician (PCP) changes to Molina with a future effective date (first of the following month).
   • Inform the member of the transfer to Molina.
   • Provide the Molina Member Services number at 888-665-4621 to the member.
   • Share member details and PCP assignment via the daily 834 member eligibility file sent to Molina

From Molina to Health Net –

1. Member action: Call Molina Member Services at 888-665-4621 to request a transfer to Health Net.
2. Molina agent actions:
   • Confirm the member’s intent to transfer to Health Net.
   • Provide the Health Net Member Services number at 800-675-6110 and perform a warm transfer to ensure the member receives assistance.
3. Heath Net agent actions:
   • Process the PCP changes to Health Net with a future effective date (first of the following month).
   • Inform the member of the transfer to Health Net.
   • Terminate the member via the monthly 834 member eligibility file sent to Molina.

From a Molina PCP to a new Molina PCP

1. Member action:Call Health Net Member Services at 800-675-6110.
2. Health Net agent actions:
   • Confirm the member is with Molina.
   • Inform the member that they are assigned to Molina.
   • Provide the Molina Member Services number at 888-665-4621 and transfer the member. If a member has difficulties reaching Molina or connecting with an agent, perform a warm transfer to ensure the member receives assistance.
3. Molina agent action: Handle the PCP change internally.

If a member arrives at a PCP's office to receive care and does not appear on the current month's eligibility listing, the provider should contact the Molina Healthcare Provider Services and Inquiry Unit.