Member Rights & Responsibilities
Below are the Passport by Molina Healthcare rights and responsibilities as written in the Passport Member Handbook. Kentucky Law requires that health care Providers or...
Molina Healthcare of Illinois, Inc.
2001 Butterfield Rd., Suite 750
Downers Grove, IL 60515
Business Hours: 8 a.m. to 5 p.m. Monday through Friday
MHILProviderNetworkManagement@MolinaHealthcare.com
P...
Important update for providers!
Effective Jan. 1, 2026, Molina Healthcare of Ohio, Inc. will discontinue fax submissions of prior authorizations (PA). All requests for PA must be submitted through the...
Important update for providers!
Effective Jan. 1, 2026, Molina Healthcare of Ohio, Inc. will discontinue fax submissions of prior authorizations (PA). All requests for PA must be submitted through the...
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Page Content
Please click on a form below to view a PDF printable version.
Claims
Provider Dispute Resolution Request Form
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Utilization Management (UM)
We use evidence-based clinical practice guidelines when making decision about members’ care.
Clin...
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Provider Forms
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Provider Contracting and Credentialing
To become a participating Molina provider, please submit a completed Contract Request Form and a current W-9 to MHIDProviderContracting@MolinaHealthcare.com.
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