Dear Molina Healthcare Member,
Your privacy is important to us. We respect and protect your privacy. Molina uses and shares your information to provide you with health benefits. We want to let you kn...
Molina Healthcare 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 authorities in th...
If you have a complaint, we encourage you to first call Member Services. We will try to resolve any complaint that you might have over the phone. If you request a written response to your phone compla...
Your right to use advance directives (such as a living will or a power of attorney)
You have the right to ask someone such as a family member or friend to help you with decisions about your h...
We invite you to come join us to learn about: Billing and Payment Molina’s interactive Provider Web-Portal Medical Management and Prior Authorization Coordination of Care Additional helpful topicsOur ...
COVID-19 (Coronavirus) Response
Updated April 16th, 2020
The COVID-19 pandemic is rapidly evolving. Molina would like to share resources and updates with our provider partners.
Prior...
Please click on a form below to view a PDF printable version.
Prior Authorization
Medical Benefit (HCPCS/J-Code) Drug Prior Authorization Request Form
Synagis Prior Authorization form 2020-20...
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...
