The guidelines below were reviewed and adopted by the Molina Complete Care (MCC) National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are rev...
Medical Necessity Criteria
Information sources used to determine benefit coverage and medical necessity include AHCCCS state coverage policies (AMPM/ACOM), MCG, Molina proprietary guidelines, national...
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Molina supports our Providers, and as such would like to highlight the many benefits ERA/EFT:
Providers get faster payment (processing can tak...
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For all your Non-Emergent Medical Transportation (NEMT) needs, please contact MTM at (844) 879-7341 (TTY/TDD: 711) or call Member Services at (833)...
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Please click on a form below to view a PDF printable version.
The files below are in PDF format ()
Provider Contracting
Contract Request Form
Provider Demographics
Change of Information Form
P...
Molina Healthcare of Texas ("Molina") seeks to uphold the highest ethical standards for the provision of health care benefits and services to its members and supports the efforts of federal and state ...
To find the Member Rights and Responsibilities, please click here.
Your Membership Rights
As a member of Molina Healthcare, you have the following rights:
To receive all the services that ...
Screening Criteria
This page contains the Molina internal screening criteria for preauthorization
The files below are in PDF format ()
Molina Clinical Review: 3D Interpretation and Reporting of...
