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Members

Preauthorization Information

Health Care and Pharmacy Services

Molina reviews covered services for medical necessity before services are provided through the preauthorization process. That information is available here. Preauthorization does not guarantee that Molina will pay for the requested services. The following is also taken into consideration:

  • Benefit limitations;
  • Exclusions;
  • Member eligibility at the time services are provided; and
  • Other applicable standards during the claim review process.

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This information is for Doctors and
Health Care Professionals only.

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