Molina Healthcare of Illinois provides Medicaid (HealthChoice), MMAI (MMP/Duals), and MLTSS services to all 102 Illinois counties.
Questions? We have answers! Molina has a team of dedicated Provider ...
Your Provider Relations team looks forward to seeing you at our webinars throughout the year. Our sessions are live, one hour or less, and open to all Illinois providers and staff. All times listed ar...
Your Provider Relations team looks forward to seeing you at our webinars throughout the year. Our sessions are live, one hour or less, and open to all Illinois providers and staff. All times listed ar...
What's covered
Prescription medications are covered when:
Medically necessary.
Ordered by your provider who has a contract with Molina Healthcare. Check Find a Provider to see if your provide...
Making Changes? Please notify Molina Healthcare at least 30 days in advance when you:
Change office location, hours, phone, fax, or email.
Add or close a location.
Add or ter...
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Please click on a form below to view a PDF printable version.
The files below are in PDF format ()
2020 Marketplace Drug Formulary
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Drug Formulary ...
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Year
Provider Resources
2026 Provider Manual
2025 Provider Manual
Provider Information Update Form
EOP and 835 Reference Guide
FQHC/RHC Provider Billing Guide
How to Re...
Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, no...
Molina Healthcare of Illinois is committed to bringing you critical updates and information. Through Provider Memos (bulletins) and email updates, we share news with you about our health plan, new opp...