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 ...
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...
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...
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...
Complex Behavioral Health Services (CBHS)
CBHS is a new program that began July 1, 2024, offered under the 1915i state plan. This program helps people who have a significant mental health diagnosis a...
As a healthcare provider who may serve Molina Healthcare members but is not currently in our provider network, we want to ensure you have the information you need for both you and your patients. Knowi...
Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us.
Authorizations / Utilization Management Forms
Prior Auth LookUp Tool
Prior Authorizatio...
