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 Drug List

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 Newsletter Fall 2022

Member Newsletter Spring 2022

Member Newsletter Fall 2021

Member Newsletter Spring 2021

Fall 2019

Spring/Summer 2019

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) 

Molina Autism Spectrum Disorder (ASD) Provider Directory

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.

Prior Authorization Code List

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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