Join our Provider Advisory Group
Your Voice Matters – We want to hear from you!
Molina Healthcare of Texas’ Provider Advisory Group is a quarterly forum to bring together in-network providers to he...
Below are the Molina Healthcare rights and responsibilities as written in the Molina Healthcare Member Handbook. State law requires that health care providers or health care facilities recognize Membe...
The Molina Healthcare quality improvement (QI) program provides the structure and key processes that enable the health plan to carry out its commitment to ongoing improvement of care and service, an...
The guidelines below were reviewed and adopted by the Molina Healthcare National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guidelines are reviewed mon...
Appeals
Grievance Consent Form
Provider Appeal Form
Behavioral Health
Behavioral Health Prior Authorization Form
Combined MCE Behavioral Health Provider Primary Care Provider Communication For...
The guidelines below were reviewed and adopted by the Passport by Molina Healthcare (Passport) National Quality Improvement Committee. Committee approval dates are shown for 2015 and beyond. All guid...
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...
Clinical practice guidelines are designed to guide decisions about diagnosing and treating specific health conditions. These guidelines are based on scientific evidence, medical literature reviews, or...
