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Utilization Management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
Senior Whole Health to Partner with Codoxo on Provider Scope Education
Senior Whole Health by Molina Healthcare Address Change (October 30, 2025)
Consumer Directed Personal Assistance Program ...
Using the Provider Toolkits
We have developed these provider toolkits to serve as a central repository for information. In addition to specific toolkits for Behavioral Health and Complex Behavioral He...
Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation.
Preferred Drug List (PDL) & Rx Prior Authorization Form...
Molina Healthcare uses a Preferred Drug List (PDL) for Medicaid, which is a list of covered prescription drugs that is reviewed, approved and maintained by a team of doctors and pharmacists at the Sta...
Welcome to the Pharmacy and Drug Information page for providers. Here you will find essential resources and links to help you manage patient medications and understand the pharmacy benefits available....
Current 2026 Updates/Events
Streamlined ABA Claim Process - Effective September 15, 2026
Provider Bulletin - Provider Claim Inquiry (PCI) Email Requirement
Provider Appeal Process to HHSC
Robo Cal...
Our communications are a great way for providers to receive helpful information, education, important updates, and more! Our goal is to provide information to help you care for Molina Healthcare Membe...
