Member Materials and Forms
AHCCCS Drug Lists
Lists of all drugs that are on the AHCCCS Acute and Long-Term Care Drug List.
AHCCCS Acute and Long-Term Care Drug List (Effective October 1, 2022)
Molina Drug List
Molina’s list of covered drugs.
Molina Member Handbook
Your Molina member handbook will help you understand your AHCCCS Complete Care (ACC) benefits and how you can get help from Molina.
Molina English Member Handbook
Molina Member Newsletters
Member Guides
NCQA Guide to Getting Quality Health Care Spring 2022
Molina’s Provider and Pharmacy Directories
Molina Provider Directory (English)
Molina Provider Directory (Spanish)
A list of Molina network providers who can provide services specific to the needs of members with ASD. You can also find these providers using the search filter “Autism Services”.
Molina Autism Spectrum Disorder (ASD) Provider Directory
Molina Opioid Use Disorder (OUD) and Medication-Assisted Treatment (MAT) Provider Directory
A list of Molina OUD and MAT network providers.
Molina OUD and MAT Provider Directory
Molina Prior Authorization Code List
A complete list of Molina prior authorization codes.
Molina Consent to Release Protected Health Information (PHI) Form
This is a form allowing Molina to share PHI with people you have allowed us to.
Molina English Consent to Release Protected Health Information (PHI) Form
Molina Member Advisory Committee (MAC) Application
Molina's MAC brings our members, their family members and our community partners together to help improve the services and benefits Molina provides. MAC members share advice, ideas and suggestions for changes that will give our Molina members better health care services and Medicaid benefits.
Together, we can make it easier for our Molina members to get the care they need, when they need it. Apply today to join the MAC!
Molina English Member Advisory Committee (MAC) Application
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