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.

Recent Updates

Based on guidance from the Ohio Department of Medicaid (ODM), Molina will begin denying claims submitted by non-enrolled or inactive providers on Aug. 15, 2021. Learn more here and here.
 
On Sept. 1, 2021, Prior Authorization (PA) requests for Molina members currently being submitted through eviCore will transition back to Molina. View additional information here.
 
View the Molina COVID-19 (Coronavirus) resource page with codes, telemedicine information and support materials here. For additional information visit the CDC website here, or the Ohio Department of Health website here.
 
The current PA Code List became effective July 1, 2021. View it here. The PA Code List effective as of Sept. 1, 2021 is posted here.
 

Medication Assisted Treatment

Addiction

Basics

Safety

Molina Peer Support Program

Addiction

For more information call (855) 665-4623, TTY/TDD: 711, Monday - Friday from 8:00 a.m. - 8:00 p.m. local time and ask for our Care Management department.

Medicare Compliance Program

Medicare Compliance Training

It Matters to Molina  

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.

Monthly It Matters to Molina Provider Forum Topic: Medicaid and Marketplace Authorization and Claim Reconsideration Guide

  • Thurs., Nov. 18, 10 to 11 a.m., meeting number 2457 111 8694, password mWBrEaj3n68

Monthly It Matters to Molina Provider Forum Topic: Pharmacy Services/Provider Initiatives

  • Wed., Dec. 1, 10 to 11 a.m., meeting number 2454 013 8157, password cY3FwpqMu87

Monthly Model of Care:

  • Fri., Nov. 12, 10:30 to 11:30 a.m., meeting number 133 062 6357, password 4ytNUxFqm37

Quarterly Provider Orientation: 

  • Fri., Jan. 7, 1:30 to 2:30 p.m., meeting number 2453 306 0680, password jrEt3TKFW32

To join WebEx, call (404) 397-1516 and follow the instructions. To view sessions, log into WebEx.com, click on "Join" and follow the instructions. Meetings passwords are case sensitive. Trouble connecting to a Molina training? Please email us and we'll assist you with getting connected immediately.

Quick Links

Provider Information Update Form
PA Code List
Preferred Drug List (PDL)
Provider Bulletin
Provider Manual