Clear CoverageTM

Clear Coverage™ is a time-saving, web-based system that offers 24/7 access to real-time authorization status and automatic approvals for certain services.

When you need an immediate update, you can rely on Clear Coverage™ to be fast and efficient. Start using Clear Coverage™ today on the Molina Healthcare Provider Web Portal at www.MolinaHealthcare.com.

Join one of our live training sessions to learn more.

You can win a Molina Healthcare gift basket! You are entered to win the monthly drawings when you register for the Provider Web Portal, and every time you use Clear Coverage™ to request an authorization

Clear Coverage™ will automatically approve the services listed below, as long as the appropriate criteria are met.

  • Outpatient hospital/ambulatory surgery center (ASC) procedures
  • Imaging: CT, MRI, MRA, PET, SPECT, cardiac nuclear studies, CT angiograms, intimal media thickness
  • Genetic Counseling and testing not related to pregnancy
  • Durable medical equipment, orthotics and prosthetics
  • Physical therapy, occupational therapy and speech therapy
  • Office-based surgical procedures for podiatry surgical procedures
  • Wound therapy including would vacs
  • Sleep studies- outpatient setting
  • Outpatient psychiatry services (ABA, ECT, individual and group outpatient sessions)
  • Behavioral health: neuropsychological testing
  • Pain management procedures

 

In the event that a service is denied, it is uploaded to the Molina Healthcare authorization system and viewed by a clinical staff member within a reasonable time frame.