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...
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...
Participation Guidelines and Standards of Care
Provider Guidelines:
All Participating Providers are expected to:
Perform duties in their area of specialty.
Provide preventive care services, i...
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...
To receive information: The right to receive information about Molina Healthcare, its services, its policies and procedures, practitioners and providers and member rights and responsibilities.
To advo...
Participation Guidelines and Standards of Care
Provider Guidelines:
All Participating Providers are expected to:
Perform duties in their area of specialty.
Provide preventive care services, i...
