Passport by Molina Healthcare (Passport) follows Molina Clinical policies as outlined on the Molina Clinical Policy website. These clinical policies function as a set of guidelines for coverage decisions or determinations. In the event a Molina Clinical Policy is not inclusive of Kentucky state guidelines or requirements, Passport shall publish a Kentucky specific clinical policy. Kentucky specific clinical policies are posted below and shall supersede Molina Clinical Policies, where applicable. To access Molina Clinical Policies, please visit www.MolinaClinicalPolicy.com. Please note, these policies do not constitute plan authorization, nor are they an explanation of benefits.