Marketplace Benefit Interpretation Policies
For Codification, please click here (for Marketplace only)
For Clinical Policies, please click here (all LOBs)
For PA Lookup Tool, please click here
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Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, no...
Provider Relations Representatives (PRR) are assigned to our in-network providers by specialty type.
Please use the list below to identify the PRR and their direct contact information.
Primary care pr...
The Provider Bulletin is published for Molina Healthcare participating providers in Ohio to communicate updates about medical management policies and procedures.
Sign up to receive Molina Healthcare's...
Coding Policies
PI Coding Policy General
PI Coding Policy Diagnosis Code
PI Coding Policy ICD-10 Specificity
PI Coding Policy Lab Codes with Modifiers 59 and 91
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