Are you a provider with questions? We are here to help. Whether you want to call us or use our self-service portal, there are options. See below for details.
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We have made our provider and pharmacy directories available in machine-readable format (.csv file) to follow Centers for Medicare and Medicaid Services (CMS) requirements. You can access this informa...
HIPAA Help Team
HIPAA Transactions testing and enrollment
HIPAA Transactions testing and enrollment
Contact Molina's EDI Team.
If you are a provider and have a concern or complaint regar...
HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
CredentialingMolina Healthcare has a duty to protect its members by assuring the care they receive is of the highest quality. One protection is assurance that our providers have been credentialed acco...
HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
HIPAA Help TeamHIPAA Transactions testing and enrollmentHIPAA Transactions testing and enrollment Contact Molina's EDI Team. If you are a provider and have a concern or complaint regarding Molina's HI...
Molina Healthcare uses the Healthcare Effectiveness Data and Information Set (HEDIS®) tool every year for quality reporting. This is done by looking at the type of care and services provided. Along wi...
Please click on a form below to view a PDF printable version.
Prior Authorization
Medical Benefit (HCPCS/J-Code) Drug Prior Authorization Request Form
Synagis Prior Authorization form 2020-20...
