Enter the email address on file with InclusiveNest LLC to continue. This checklist is for approved agency staff and providers only.
Ingrese el correo electrónico registrado con InclusiveNest LLC para continuar. Esta lista es solo para personal y proveedores autorizados de la agencia.
Access is limited to approved staff emails. · El acceso está limitado a correos de personal autorizado.
For security, access is monitored and your IP address and approximate location are recorded. · Por seguridad, el acceso es monitoreado y se registran su dirección IP y ubicación aproximada.
InclusiveNest LLC
Molina Readiness Checklist for Molina In-Network Providers
English
Molina Readiness Checklist for Molina In-Network Providers. Molina Healthcare requires every provider and staff member to review the Provider Handbook, complete four training modules, submit Molina's online CLAS attestation survey, and sign an attestation before the transition takes effect. Work through the four steps below — check items off as you go.
Español
Lista de Preparación para Molina para Proveedores In-Network con Molina. Molina Healthcare requiere que todo proveedor y miembro del personal revise el Manual del Proveedor, complete cuatro módulos de capacitación, envíe la encuesta de declaración CLAS en línea de Molina y firme una declaración jurada antes de que la transición entre en vigor. Complete los cuatro pasos a continuación — marque cada elemento a medida que avance.
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InclusiveNest LLC
CMS → Molina Transition · Staff Training
Molina Readiness Checklist for Molina In-Network Providers
Molina Healthcare requires every provider and staff member to review the Provider Handbook, complete four training modules, submit Molina's online CLAS attestation survey, and sign an attestation before the transition takes effect. Work through the four steps below — check items off as you go.
Signed in as
·NPI
1
Review the Provider Handbook
Done
Read the three required sections of the Molina Healthcare of Florida Medicaid Provider Handbook (2026 edition).
Molina also requires a short online attestation that you completed the CLAS training. It takes about two minutes — the survey is in English, so answer each question exactly as shown here.
1. I am a Provider in
Florida
2. I have received and reviewed the posted materials…
Yes
3. Group Tax Identification Number (TIN)
990830189
4. Clinic/Office Name
InclusiveNest LLC
5. Clinic/Office Address
13831 SW 59th St Suite 200 City: Miami · State: FL · Zip: 33183 · Country: United States
6. Provider Email Address
the email you signed in with here
7. Comments/Suggestions
N/A
✉️Before you click Done: check the box “Send me a copy of my responses via email.” That confirmation email is how the office tracks who has completed the survey — forward it to info@inclusivenest.com.
One attestation covering Fraud, Waste, and Abuse, Duty to Report, Human Trafficking Awareness, and CLAS Training. Fill it in and sign right here — no DocuSign needed — then download your signed copy as a PDF.
I attest that I have completed the required Fraud, Waste, and Abuse (FWA) Training for InclusiveNest LLC and reviewed the Fraud, Waste, and Abuse provisions of the Molina Healthcare of Florida Medicaid Provider Handbook, 2026 edition, page 133. I understand my obligation to report known or suspected fraud, waste, or abuse to Molina Healthcare's Compliance/Fraud hotline and to my supervisor and the Compliance Office, and that I must never knowingly submit or cause to be submitted a false or fraudulent claim.
Page 2 of 4
Duty to Report Training Attestation
I attest that I have completed the required Abuse, Neglect, and Exploitation (Duty to Report) Training for InclusiveNest LLC as a participating provider or staff member serving Molina Healthcare members, and that I have reviewed the Reporting of Suspected Abuse, Exploitation and/or Neglect provisions of the Molina Healthcare of Florida Medicaid Provider Handbook, 2026 edition, pages 104–106. I understand I am a mandatory reporter under Florida law and must immediately report known or suspected abuse, neglect, or exploitation to the Florida Abuse Hotline (1-800-96-ABUSE), and notify my supervisor and the Compliance Office after any report.
Page 3 of 4
Human Trafficking Awareness Training Attestation
I attest that I have completed the required Human Trafficking Awareness Training for InclusiveNest LLC and reviewed the Identifying Victims of Human Trafficking provisions of the Molina Healthcare of Florida Medicaid Provider Handbook, 2026 edition, page 107. I understand my obligation to report known or suspected human trafficking to the Florida Abuse Hotline (1-800-962-2873) or, in an emergency, 911, and to notify my supervisor and the Compliance Office following any report.
Page 4 of 4
CLAS Training Attestation
I attest that I have completed the following Molina Healthcare Culturally and Linguistically Appropriate Services (CLAS) training modules for InclusiveNest LLC and understand my obligation to deliver services in a manner that respects each member's culture, language, age, disability status, and health literacy.
Signature
By signing below, I confirm the information above is true and accurate to the best of my knowledge, and that this attestation may be maintained in my personnel file and provided to Molina Healthcare upon request. This one signature applies to all four pages above.
Draw your signature above
Saves a signed PDF to your device — email or print it back to the office.
Your signed PDF has been saved to your device.
📎
Don't forget to UPLOAD the PDF file!
The email will open WITHOUT the file attached. In your email app, tap the attach (paperclip) button, pick the PDF you just downloaded, and only then press Send. An email without the file does not count.
InclusiveNest LLC