Molinalogo

Prior Authorization for COVID Related Testing

No authorization is required for COVID diagnostic testing.

Authorizations

Molina will extend authorizations for all elective surgeries, procedures, physical therapy, speech therapy, DME and occupational therapy that are scheduled to expire prior to Sept. 1st to be honored up to September 1, 2020. This does not include extending or adding services not included in the primary request. Authorization for new procedures not previously approved and new therapy requests must go through the normal approval process but should not expire before May 31, 2020 or after the usual 90-day approval, whichever is longer.

Medicare Prescriptions

Molina will relax refill timing on all* prescriptions. (If the outbreak continues, please monitor our provider notifications for potential extension of this policy). Members can receive an early refill for 30 days, plus two additional refills, up to a 90-day supply. Additionally, Molina will allow 90-day prescription volumes on many routine medications currently or can approve a 90-day supply via an exception request. This includes new prescriptions and refills. Please allow 90-day supply of maintenance medications through both mail order and retail pharmacies, especially for members discharging from an inpatient facility given the current availability of follow-up appointments. CVS offers free prescription delivery through their mail order pharmacy at www.caremark.com
^*Certain controlled medications require prior authorization prior to refill.

Telehealth Configuration Grid

Information Releases 2020

Centers for Disease Control and Prevention Website

COVID-19 Provider Notification

COVID-19 Overview

COVID-19 Policy