Need a Prior Authorization?
PA Lookup tool is under maintenance.
Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.
Welcome, Illinois Health Care Providers
Contracted providers are an essential part of delivering quality care to our members. We at Molina Healthcare value our provider partnerships and support the doctor-patient relationship our members share with you.
Superior customer service and provider relations are one of our highest priorities. We welcome your feedback and look forward to assisting all your efforts to provide quality care.
If you have questions or concerns, please contact the Provider Network Management team at (855) 866-5462.
New P2P Scheduling Tool
Need a Peer-To-Peer review for your Molina Medicaid patient? Put in a request with our convenient new scheduling tool. CLICK HERE.
Become a Molina Provider
Would you like to become a Molina Medicaid provider? Visit our page called Join Our Network for step-by-step instructions.
Provider Education Series
Molina Healthcare of Illinois hosts provider training sessions throughout the year. Our webinars are free and open to all network providers and their medical and office staff.
Registration is quick and easy! Click here to view and register for upcoming sessions.
Automated Critical Updates! We know you’re busy. Sign up to receive provider news delivered to your inbox. Click to get started:
What's New?
P2P Request Tool (Medicaid Medical)
Memo Roundup—February Provider News
Rate/Fee Schedule Updates—March 2023
Process Changes for Oncology and Cardiology
Legacy Portal To Be “Sunset” In March
LTC Preparations for Medicaid Redeterminations
Revision to PA Frequency Accumulator for Waivers
Medicaid Redeterminations Returning
MHIL Quality Incentive Program for 2023
Frequently Used Forms
- Q1 Prior Auth Codification - 2023- Q4 Prior Auth Codification - 2022
- Q3 Prior Auth Codification - 2022
- Q2 Prior Auth Codification - 2022
- Provider Manual (Medicaid| MMP)
- Drug Formulary (Medicaid| MMP)
- Illinois Service Area - Hospital
- Illinois Service Area - Ancillary
- Illinois Service Area - FQHC
- Illinois Service Area - Contracting
- Illinois Service Area - Quality
- Medical Prior Auth Request Form
Find more frequently used forms here.