Please click on a form below to view a PDF printable version.
The files below are in PDF format ()
2020 Marketplace Drug Formulary
Provider News Bulletin
Provider News Bulletin Prior Authoriza...
Please click on a form below to view a PDF printable version.The files below are in PDF format () ADHD Agents Marketplace Prior Authorization FormAdvair Marketplace Prior Authorization FormAlbuterol...
Molina Healthcare of Texas ("Molina") seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of federal and state ...
To find the Member Rights and Responsibilities, please click here.
Your Membership Rights
As a member of Molina Healthcare, you have the following rights:
To receive all the services that ...
Screening Criteria
This page contains the Molina internal screening criteria for preauthorization
The files below are in PDF format ()
Molina Clinical Review: 3D Interpretation and Reporting of...
aMolina Healthcare’s HIPAA 5010 Readiness *Molina Healthcare is ready to test the 5010 versions of the HIPAA transactions with providers and other trading partners. We look forward to working collabo...
The Federal HIPAA regulations issued by DHHS dictate that only approved code sets may be used in standard electronic transactions. The CMS site has official resources that define these standard code s...
aHIPAA Security Standards for the Protection of Electronic Protected Health InformationThe Final Rule adopting HIPAA standards for the security of electronic protected health information was published...
