For Managed Medicaid & HARP members:
Starting April 1, 2023, prescriptions will not be covered by Molina Healthcare. They will be covered by Medicaid NYRx, the Medicaid pharmacy program.
Medicaid ...
The Molina Healthcare Drug Formulary is a listing of preferred drug products eligible for reimbursement by Molina Healthcare. All medications are listed by generic name. The medications are organize...
Care CoordinationAs medical practice becomes more complex and demanding, coordinating care between various providers involved in a patient’s care is a challenge. It is not unusual to hear from paitent...
As a healthcare provider who may serve Molina Healthcare members but is not currently in our provider network, we want to ensure you have the information you need for both you and your patients. Knowi...
Frequently Used Forms
Frequently Used Forms
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Frequently Used Forms
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Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us.
Authorizations / Utilization Management Forms
Prior Auth LookUp Tool
Prior Authorizatio...
Please familiarize yourself with the Drug Formulary as you prescribe medications for Molina Healthcare members. Thank you for your cooperation.
Preferred Drug List (PDL) & Rx Prior Authorization Form...