Providers

Prior Authorizations

Provider Manual

Formulary

Forms and Documents

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Communications & Important Reminders

As our health care partner, it’s important that you have all the latest information about Molina’s operations. Please click the Provider Communication links below for up-to-the-minute details about Molina’s key plan updates, legislative changes, industry trends and news, upcoming meetings, training opportunities, and emergent issues in the industry.

Provider Newsletters Provider Bulletins

Announcements and Reminders

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 provider
Change in Tax ID and/or NPI
Open or close your practice to new patients (PCPs only)

LTSS Quick Reference Guide

Looking for information about requesting authorization or submitting a claim for Long-Term Services and Supports?. Learn more

Primary Care Designation Reminder

As a Primary Care Provider by designation, you can always access the roster of Molina Marketplace members assigned to your practice via your provider portal. However, you do not need to be designated as a member’s PCP to provide services to Molina members. Eligibility and benefit terms apply.

PsychHub

PsychHub is an online plaform for digital mental health education. Molina Providers are able to access PsychHub online learning courses through their Learning Hub for FREE. Contact your local Molina provider services team.

Marketplace Service Areas

View the states, counties, and communities we serve

Benefits of Provider Portal

Take care of business on your schedule. Available 24/7, the Provider Portal gives you an easy way to make short work of a number of tasks, including:

• Check Member Eligibility

• Submit and check the status of your claims

• Submit and check the status of your service or request authorizations

• View your HEDIS scores

• Prior Auth Lookup Tool

Click to Login or Register

Stay up to date with our Molina Resources

Health Resources

Go To Health Resources Page

EDI ERA/EFT

EDI | ERA/EFT

Go To EDI ERA/EFT Page

HIPAA

Go To HIPAA Page

Drug List

Drug Formulary | Medication Prior Authorization Criteria and Clinical Policies | Physician Administered Preferred Drug List

Go To Drug List Page

Policies

Member Rights and Responsibilities | Fraud Prevention Tips | Reimbursement Policies

Go To Policies Page

Need Help?

View our FAQs for answers to some commonly
asked questions.

View FAQs

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