For Managed Medicaid & HARP members:
Starting April 1, 2023, prescriptions will not be covered by Molina Healthcare. They will be covered by Medicaid NYRx, the Medicaid pharmacy program.
Medicaid ...
The Molina Healthcare Drug Formulary is a listing of preferred drug products eligible for reimbursement by Molina Healthcare. All medications are listed by generic name. The medications are organize...
Passport by 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 authorit...
The Provider Bulletin publication is Molina Healthcare of California's (MHC) primary communication method with our Provider/Practitioner community.
Information types include:
...
Types of EDI Transactions
Electronic Data Interchange (EDI) functionality is utilized by Molina to complete several types of ASC X12N Version 5010 transactions, including:
Claims Submission (83...
Prescription Drugs & Medication
Molina Healthcare covers all medically necessary Medicaid-covered medications. We also use a preferred drug list (PDL). These are the drugs that we prefer our provider...