PLEASE READ - CHANGE EFFECTIVE JULY 1, 2026:
All Physical Therapy, Occupational Therapy, and Speech Therapy (PT/OT/ST) will require a Prior Authorization (PA) after 6 visits per rolling year begin...
Please familiarize yourself with the preferred drug list as you prescribe medications for Molina Healthcare beneficiaries. Thank you for your cooperation.
Molina Preferred Drug List (PDL)
Preferred ...
Utilization management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clinical practice guidelines address preventive, acute or chronic and behaviora...
At Molina Healthcare, we value you as a provider in our network. That’s why we work hard to provide you with the resources you need to help care for our members. If you have any questions, please call...
Under New York State requirements, specifically Social Services Law (SOS) § 363‑d(6), Medicaid network providers are required to report, return, and explain any identified overpayments to Molina Healt...
