Member Grievance and Appeals Request Form (English | Spanish)
Medical Release Form (English | Spanish)
Authorization for the Use and Disclosure of PHI (English | Spanish)
Member access to PHI (En...
Aquí puede encontrar documentos importantes sobre su plan médico de Molina Healthcare (Molina). Haga clic en los enlaces a continuación para obtener más información.
Miembros nuevos
Queremos ayudarlo ...
Here you can find important documents about your Molina Healthcare (Molina) health plan. Click the links below for more information.
New Members
We want to help get you the most out of your health pla...
Keeping You Healthy
We want you to make good health care choices for you and your family.
Changes to Behavioral Health Appointment Wait Times Effective July 1, 2025
Behavioral Health Access Suppor...
Keeping You Healthy
We want you to make good health care choices for you and your family.
Changes to Behavioral Health Appointment Wait Times Effective July 1, 2025
Behavioral Health Access Support c...
The drug formulary is a list of covered drugs. Your Molina Complete Care for MyCare Ohio plan will generally cover any prescription drug listed in our formulary as long as:
The drug is medically ...
Member Materials and Forms
On this page, you can find important documents related to your Senior Whole Health of New York health plan. Click the links below to download each document.
2026 Handboo...
Please read your Member Handbook. It tells you about:
Your health plan.
Your benefits.
What is covered.
How to get the services you need.
How to contact us.
Read Your Member ...
Please read your Member Handbook. It tells you:
About your health plan
About your benefits and what is covered
How to get the services you need, including special health care needs...
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...
