Alert!
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners. Learn More.

Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization
Error While retrieving Prior Authorization LookUp Tool!

Medicaid Professionals

Find forms and resources for Medicaid providers.​

Learn more.

Dual Options Professionals

Duals

Find forms and resources for Dual Options providers.​

Learn more.

Medicare Professionals

Find forms and resources for Medicare providers.

Learn more.