Prior Authorizations in Arizona
Providers can find details about Molina’s prior authorization (PA) process, methods for submitting requests, procedures for denials and peer-to-peer reviews, as well as how to access forms and contact our team.
Important update for providers:
Starting 2/1/2026, providers must submit medical benefit PA requests through Availity Essentials provider portal as Molina no longer accepts fax submissions. Continue to follow the current pharmacy submission processes for pharmacy benefit PA requests; do not submit these through Availity Essentials.
Service Prior Authorizations
Office visits to participating (PAR) providers and referrals to network specialists do not need Prior Authorization (PA). Emergency services also do not require authorization.
Molina requires PA for certain services. See which services need prior auth with the PA Code LookUp Tool. Providers can request and manage authorizations via through Availity Essentials.
Pharmacy Prior Authorizations
Molina manages prescription drug benefits through CVS/Caremark. Outpatient drugs on Molina's preferred drug list (PDL) are covered, while medications not on the PDL need prior authorization for approval.
Prior Authorization Guide and Request Forms
Medication Authorization Form: Phone: (800) 424-5891 or fax: (844) 271-6887