Members

Member Resources

Keeping You Healthy

We want you to make good health care choices for you and your family.

Changes to Behavioral Health Appointment Wait Times Effective July 1, 2025 

Behavioral Health Access Support contact information
Telephone: (315) 526-1150 
Email: mhny.caremanagement@molinahealthcare.com


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Make the most of your membership
  1. Get to know your Affinity by Molina Healthcare health plan. Go to “What’s Covered” on your plan page. You can also read your Member Handbook.
  2. Register for the member web portal: MyAffinityPortal.com to manage your health care online, any time day or night. It’s easy!
  3. Check out Getting Care so that you know exactly what kind of care you have access to with Affinity.
  4. Take a look at our Special Health Programs for members. Find out if you are enrolled in one today.
  5. See how we provide Quality Service to members.
  6. Read the Grow and Stay Healthy Guidelines to get to know what immunizations (shots) you and your children need and when you need to have them done.
  7. Read Affinity’s monthly newsletters about how to take care of your health.
  8. Visit our Staying Healthy area if you have health questions. It offers all sorts of helpful info and advice.
  9. Call Member Services at (800) 223-7242 (TTY/TDD: 711) if you have any questions about your health plan.
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My Affinity portal

MyAffinityPortal.com is easy to use and lets you look after your health care online.

You can:

  • Print a Member ID Card
  • Request a new card if you have lost yours
  • Change your doctor
  • Check your eligibility
  • Update your contact info
  • Get reminders for health services that you need 

You can also view:

  • Your history of services such as doctor visits
  • Info and resources to help you and your family stay healthy
  • Services offered for Affinity by Molina Healthcare members only  

Register today

Just follow these easy steps:

Step 1: Go to MyAffinityPortal.com
Step 2: Enter your Member ID number, date of birth and zip code 
Step 3: Enter your email address 
Step 4: Create a password 
Step 5: Now you’re ready to login and use My Affinity Portal!

Forgot your password?

Click on “Forgot my Password” and go through the steps to have it reset.
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Frequently Asked Questions

Q. How do I change my primary care provider (PCP)?
A. There are two ways you can change your PCP:

  • Go to MyAffinityPortal.com and follow the instructions. If you have not registered for MyAffinityPortal yet, you can do it online today. It’s easy!
  • You can also call Member Services at (800) 223-7242.

Q. What drugs are covered? Are my drugs covered?
A. To find out what drugs are covered under your plan, view the Preferred Drug List (Formulary) for your plan in “What’s Covered”. 

Q. How do I find out if a health care service or benefit is covered?
A. Go to “What’s Covered” to find out about your benefits and services. You can also call Member Services at (800) 223-7242.

Q. How can I get Molina Healthcare material translated in my preferred language? 
A. If you need your health plan information in a different language or format, call Member Services at (800) 223-7242.

Q. What kind of transportation do I get? I need help with transportation.
A. Go to “What’s Covered” and you will find information about transportation under “Services”. You can also call Member Services at (800) 223-7242.

Q. What are some Community Resources and Assistance available to me: 
A. There are several community resources available to members. Below are the some more frequently used:

 

 
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CMS-0057 Prior Authorization Annual Reporting

This report shows how prior authorization requests are handled, such as how many were approved or denied and how quickly decisions were made. To find out if a specific service needs prior authorization, members and providers should check the plan’s Prior Authorization Guide or use the Prior Authorization Lookup Tool.

download arrow button  Prior Authorization Guide 2025
download arrow button  Prior Authorization Lookup Tool

MHNY CHP Medicaid Prior Authorization Report 2025


Prior Authorization Statistics
Molina Healthcare Inc
Percentage
The percentage of STANDARD prior authorization requests that were approved, aggregated for all items and services. 95%
The percentage of STANDARD prior authorization requests that were denied, aggregated for all items and services. 5%
The percentage of STANDARD prior authorization requests that were approved after an appeal, aggregated for all items and services. 60%
The percentage of EXPEDITED prior authorization requests that were approved after an appeal, aggregated for all items and services. 100%
The percentage of STANDARD prior authorization requests for which the review timeframe was extended, and the request was approved, aggregated for all items and services. 68%
The percentage of EXPEDITED prior authorization requests for which the review timeframe was extended, and the request was approved, aggregated for all items and services. 67%
The percentage of EXPEDITED prior authorization requests that were approved, aggregated for all items and services. 97%
The percentage of EXPEDITED prior authorization requests that were denied, aggregated for all items and services. 3%
Timing
Average time that elapsed between the submission of a request and a determination by the payor, plan or issuer, for STANDARD prior authorizations, aggregated for all items and services. (Measured in days) 4
Median time that elapsed between the submission of a request and a determination by the payor, plan, issuer, for STANDARD prior authorizations, aggregated for all items and services. (Measured in days) 3
Average time that elapsed between the submission of a request and a decision by the payor, plan or issuer, for EXPEDITED prior authorizations, aggregated for all items and services. (Measured in hours) 33
Median time that elapsed between the submission of a request and a decision by the payor, plan, issuer, for EXPEDITED prior authorizations, aggregated for all items and services. (Measured in hours) 28

MHNY MEDICAID MANAGED CARE Prior Authorization Report 2025


Prior Authorization Statistics
Molina Healthcare Inc
Percentage
The percentage of STANDARD prior authorization requests that were approved, aggregated for all items and services. 84%
The percentage of STANDARD prior authorization requests that were denied, aggregated for all items and services. 16%
The percentage of STANDARD prior authorization requests that were approved after an appeal, aggregated for all items and services. 30%
The percentage of EXPEDITED prior authorization requests that were approved after an appeal, aggregated for all items and services. 33%
The percentage of STANDARD prior authorization requests for which the review timeframe was extended, and the request was approved, aggregated for all items and services. 59%
The percentage of EXPEDITED prior authorization requests for which the review timeframe was extended, and the request was approved, aggregated for all items and services. 76%
The percentage of EXPEDITED prior authorization requests that were approved, aggregated for all items and services. 91%
The percentage of EXPEDITED prior authorization requests that were denied, aggregated for all items and services. 9%
Timing
Average time that elapsed between the submission of a request and a determination by the payor, plan or issuer, for STANDARD prior authorizations, aggregated for all items and services. (Measured in days) 4
Median time that elapsed between the submission of a request and a determination by the payor, plan, issuer, for STANDARD prior authorizations, aggregated for all items and services. (Measured in days) 3
Average time that elapsed between the submission of a request and a decision by the payor, plan or issuer, for EXPEDITED prior authorizations, aggregated for all items and services. (Measured in hours) 31
Median time that elapsed between the submission of a request and a decision by the payor, plan, issuer, for EXPEDITED prior authorizations, aggregated for all items and services. (Measured in hours) 25