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...
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...
The drug formulary is a list of covered drugs. Molina Healthcare will generally cover any prescription drug listed in our formulary as long as:
The drug is medically necessary.
The prescripti...
The drug formulary is a list of covered drugs. Molina Dual Options will generally cover any prescription drug listed in our formulary as long as:
The drug is medically necessary.
The prescrip...
The drug formulary is a list of covered drugs. Your Molina Dual Options MyCare Ohio plan will generally cover any prescription drug listed in our formulary as long as:
The drug is medically neces...
The drug formulary is a list of covered drugs. Molina Healthcare will generally cover any prescription drug listed in our formulary as long as:
The drug is medically necessary.
The prescripti...
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 Molina Healthcare
We're happy you're here.
Thank you for becoming a new member of the Molina Healthcare family. We're here to help you get off to a great start. Now it's time to star...
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...
