Page Content
Electronic Prior Authorization Link
Providers are able to complete prior authorizations online via the following link:
Electronic Prior Authorization Information
Texas Standardized Pr...
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...
Doula Step-by-Step Process
Summary of Doula Services
Effective January 1, 2023, Molina Healthcare of California (MHC) provides doula services for prenatal, perinatal, and postpartum Medi-Cal members....
In September 2023, Molina acquired My Choice Wisconsin. On this page, you’ll find all the information and resources you need as a valued provider partner to help you through this integration process ...
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, no...
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 organized ...
Molina Healthcare of Illinois (Molina) has revised and formalized its existing Payment Integrity and Recovery Program in alignment with state and national coding practices. Molina’s renewed mission i...
NEW UM PROCESS EFFECTIVE 10/1/24:
Sending sufficient clinical information to support a requested PA is an expectation. Beginning 10/1/24, Molina Healthcare of Iowa asks for clinical information one ti...
