We want you to have easy access to forms you need. Listed below are common forms you may use as a Molina Healthcare Medicaid member. Click on the form to access a PDF version you can download to print...
Prescription medications are covered when:
They are ordered by your provider or another doctor treating you and the drug is listed on the Molina Healthcare Drug List (Formulary).
Th...
Prescription medications are covered when:
They are ordered by your provider or another doctor treating you and the drug is listed on the Molina Healthcare Drug List (Formulary).
The...
Page Content
You can go to any OB/GYN doctor in the Passport by Molina Healthcare network as well as receive Certified Nurse Midwife (CNM) services without a prior authorization.
You can go to any q...
For medications not listed on the Formulary, providers may follow the same course of action as with a Coverage Determination, also called a Prior Authorization. This can be initiated by having your Pr...
Member Services
STAR, STAR+PLUS & CHIP: 8:00 a.m. - 5:00 p.m. local time, Monday to Friday (866) 449-6849
CHIP Rural Service Area (RSA) (CHIP including CHIP Perinatal): 8:00 a.m. - 5:00 p.m. local ti...
