Molina Healthcare uses a Preferred Drug List (PDL), which is a list of covered prescription drugs. It is reviewed and approved by doctors and pharmacists. You must get your prescriptions from a pharma...
Apelaciones
Si recibe una carta de denegación y no está conforme con nuestra decisión, puede presentar una apelación. Una apelación es una solicitud de la revisión de una acción. Una acción es cualqui...
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What is a denial?
A denial means Molina Healthcare is telling a provider and you that services will not be provided (or they will...
Submitting Claims
As a participating provider with Molina Healthcare, you have established a contractual agreement to provide physical, behavioral and/or other long-term support services to our membe...
Appeal Process
You can file an appeal if Molina Healthcare denied, suspended, terminated, or reduced a requested service. This is called an adverse determination.
You have 90 days from the date o...
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Let’s get to know more about your Molina Healthcare (Molina) health plan and benefits
Where do I go t...
Appeal Process
You can file an appeal if Molina Healthcare denied, suspended, terminated, or reduced a requested service. This is called an adverse benefit determination.
You have 60 ...
