Claim Management for Missing or Incorrect Member Information Effective December 7, 201801/03/19Molina Healthcare would like to notify our provider partners of a change to the management of claims subm...
Click here to view Provider Manual​Dear Provider:I would like to extend a personal welcome to Molina Healthcare of Mississippi, Inc. Enclosed is your Molina Healthcare Provider Manual, written specifi...
Here you can find all your provider forms in one place. If you have questions or suggestions, please contact us.
Claims Forms
Participating Provider Claim Dispute Form
Provider Network Forms
Provid...
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...
Visit the "Texas Formulary" for Formulary information.
Pharmacy Prior Authorization Forms
Click here to find Prior Authorization Forms
Click here to view additional details regarding clinical edits.
I...
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
One of the goals of Molina Healthcare Utilization Management (UM) department is to render appropriate UM decisions that are consistent with objective clinical evidence. To achieve that goal, Molina He...
