Molina Clinical Policy

Molina has established Molina Clinical Policies (MCP) that function as one of the sets of guidelines for coverage decisions or determinations. Note: These MCPs do not constitute plan authorization, nor are they an explanation of benefits. The MCPs are applicable to all lines of business including Medicaid, Marketplace, and Medicare unless superseded by National Coverage Determination (Medicare) or one of the state Medicaid Plans. Providers are encouraged to visit

*The files below are in PDF format (icon_pdf).