Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

Welcome, Wisconsin Healthcare Providers

If you are a contracted provider and have questions or would like to connect with your Provider Service Representative email us at WIProviderNetworkManagement@MolinaHealthCare.Com.

If you are not currently a Molina Healthcare provider and would like to join our network begin the process by completing a Non-Par Provider Contract Request Form and submitting to:

     Email: WIProviderContracting@MolinaHealthCare.Com
     Fax: (877) 556-5863

Recent Updates

Register for Availity, Molina's New Provider Portal

Learn how Molina is working with Availity and register at

Your Opinion Matters to Molina

Email us to share your comments, concerns, or ideas. Your feedback is important to us. Let us know what we're doing well and what we can do to improve.

Important Reminder:

Please notify Molina Healthcare at least 30 days in advance when you have any of the following:

  • Change in office location,
       office hours, phone, fax, or email
  • Addition or closure of office location
  • ​Addition or termination of a
  • Change in Tax ID and/or NPI
  • Open or close your practice to new
       patients (PCPs only)

Please see link to our provider information update form.


Prior Authorization (PA) Updates

Effective Sep. 1st, 2021 prior authorizations will transition away from eviCore and back to Molina.

The current PA guide can be reviewed here.