Frequently Used Forms
Molina Allowed In-Office Lab Test List, Effective 1.1.19
LTSS & Home and Community Based Services Quick Reference Guide
Prior Authorization
2022 Prior Authorization Guide - Medicare
Medicare Prior Authorization Request Form
Medicare Behavioral Health Prior Authorization Request Form
Medicare Pharmacy Prior Authorization Request Form
Provider News Bulletin Prior Authorization Code Matrix - May 2022
Provider News Bulletin Prior Authorization Code Matrix - March 2022
Provider News Bulletin Prior Authorization Code Matrix - November 2021
Provider News Bulletin Prior Authorization Code Matrix September 2021
Provider News Bulletin Prior Authorization Code Matrix- May 2021
Provider News Bulletin Prior Authorization Code Matrix- February 2021
Provider News Bulletin Prior Authorization Code Matrix - January 2021
Bulletin Prior Authorization Code Matrix - August 2020 - V2
Provider News Bulletin Prior Authorization Code Matrix - August 2020
Provider News Bulletin Prior Authorization Code Matrix - May 2020
Provider News Bulletin Prior Authorization Code Matrix - March 2020
Provider News Bulletin Prior Authorization Code Matrix - January 2020
Provider News Bulletin Prior Authorization Code Matrix - November 2019
Provider News Bulletin Prior Authorization Code Matrix - January 2020 Updates
Texas Standardized Prior Authorization Request Form for Health Care Services
Texas Standardized Prior Authorization Request Form for Prescription Drugs
2021 Q1 Prior Authorization Guide Code Matrix - Medicare
Historical Prior Authorization Code Matrix Update Log
Types of Medicaid Notifications
Medicaid Turn Around Times for Service Determinations
Behavioral Health Service Request Form
Pharmacy Prior Authorization Request Form - Medicare
Prior Authorization Request Form - Medicare