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Sitecore Site Collection
Provider Forms
Claims  Corrected Claim Billing Guide  Request for Claim Reconsideration Form (Non-Clinical Claim Dispute Form)  ...
/providers/oh/medicaid/forms/fuf.aspx
Sitecore Site Collection
Archived-Prior-Authorization-Code-Lists
Below is a list of archived PA Code Lists. View the Forms page to find the current PA Code List. Start Date End Date PA Code List ...
/providers/oh/duals/forms/Archived-Prior-Authorization-Code-Lists.aspx
Sitecore Site Collection
Archived-Prior-Authorization-Code-Lists
Below is a list of archived PA Code Lists. View the Forms page to find the current PA Code List. Start Date End Date PA Code List ...
/providers/oh/duals/forms/Archived-Prior-Authorization-Code-Lists.aspx
Sitecore Site Collection
Benefits and Rewards
Getting your Affinity by Molina Healthcare rewards just got easier! You can now submit your information through your My Molina® member portal account. Affinity's new reloadable reward card lets you co...
/members/ny/mem/affinity/member-rewards.aspx
Sitecore Site Collection
Provider Bulletins
2025 5/1/25: Sunset of Legacy PA Tool in Availity 4/30/25: Take the Support Act PCP Provider Survey 4/29/25: Progeny Announcement 3/13/25: Provider Newsletter 2025 Q1 ...
/providers/wi/medicaid/Provider-Bulletins.aspx
Sitecore Site Collection
Archived Prior Authorization Code List
Below is a list of archived PA Code Lists. View the Forms page to find the current PA Code List. Start Date End Date PA Code List ...
/providers/oh/medicaid/forms/archive-prior-authorization-code-list.aspx
Sitecore Site Collection
You Matter to Molina
Page Content   Welcome! Molina Healthcare of Ohio's "You Matter to Molina" program prioritizes connecting directly with our entire network of providers and supporting their efforts to deliver hig...
/providers/oh/medicaid/comm/YouMattertoMolina.aspx
Sitecore Site Collection
News & Updates
Molina Healthcare of Illinois is committed to bringing you critical updates and information. Through Provider Memos (bulletins) and email updates, we share news with you about our health plan, new opp...
/providers/il/medicaid/comm/newsupdates.aspx
Sitecore Site Collection
Frequently Used Forms | Passport by Molina Healthcare
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/providers/ky/medicaid/forms/fuf.aspx
Sitecore Site Collection
pharmacy prior authorization forms
Page Content Electronic Prior Authorization Link Providers are able to complete prior authorizations online via the following link: Electronic Prior Authorization Information Texas Standardized Pr...
/providers/tx/medicaid/drug/priorauthorizationforms.aspx