Need a Prior Authorization?
Welcome, Utah Healthcare Providers
Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.
As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.
Molina Healthcare of Utah participates in the Utah Medicare, Medicaid, CHIP and Marketplace programs.
If you have any questions, call Provider Services at (855) 322-4081.
What's New / Recent Updates
Ouma Health – A telehealth partner for Maternity Providers and Molina Medicaid Members
Molina has partnered with Ouma to help improve maternity care for our Medicaid members, specifically related to timeliness of care. Ouma Health is a clinician-led, maternity telehealth program that provides access to various services. Ouma also has the ability to provide virtual access to maternal-fetal medicine care for patients needing access to that specialty. Ouma can support/supplement the system of care of pregnant members. They do not replace or compete with local providers.
Ouma UT Flyer
Ouma Fax Referral Form
Molina wellness rewards for maternity health:
- $65. Prenatal visit if completed within 1-12 weeks gestation, or within 42 days of enrollment with Molina.
- $65. Maternal assessment with their Molina Case Manager. This must be completed before 32 weeks of pregnancy, please have the member call 866-891-2320.
- $65. Postpartum visit completed within 1 – 12 weeks of delivery date.
Your Opinion Matters to Molina
Do you need to add, terminate, or make demographic changes to an existing Provider in your group?
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 terminate a provider.
- Change in Tax ID and/or NPI.
- Open or close your practice to new
patients (PCPs only).
Complete the Provider Roster Template, which can be found on the 'Provider Forms' page, and submit your changes to MHUPIM@MolinaHealthcare.com.
Frequently Used Forms
- Prior Authorization Form (Medical, Behavioral Health, and HCPCS/JCode PA Request Forms)
- Pharmacy/Medication Exception Prior Authorization Form
- Provider Appeal Request Form


