Preventive Health Guidelines

Preventive health guidelines can be beneficial for both providers and patients. These guidelines are based on scientific evidence, reviews of medical literature, or established authority. All recommendations are grounded in published consensus guidelines and do not prioritize treatments based solely on cost considerations.

These guidelines aim to recommend a standard level of care but do not preclude the delivery of additional preventive services based on the individual needs of each patient.

Molina Healthcare regularly reviews and updates these guidelines as new clinical evidence emerges. After review and necessary modifications by the Quality Improvement and Health Equity Transformation Committee, providers are notified of any changes via fax and/or mail.

To request a copy of any guideline, please contact Molina Healthcare Provider Services.

The guidelines listed below were reviewed and adopted by the Molina Healthcare National Quality Improvement and Health Equity Transformation Committee, with approval dates indicated for 2023 and beyond. All guidelines undergo monthly reviews and receive annual approval unless otherwise noted.

It's important to note that clinical guidelines are not used by Molina to determine benefit coverage. Instead, they are educational tools to aid clinical decision-making and are not considered a standard of care. Physicians should adapt the guidelines based on their clinical judgment.

Adult Preventive Services Recommendations

Molina Healthcare has adopted the guideline for Adult Preventive Services Recommendations from U.S. Preventive Services Task Force.

The Clinical Practice Guideline may be accessed HERE.

Published: 2013

Revised: April 2025

Molina approved:January 2023, February 2023, April 2024, May 2024, January 2025, May 2025

Recent updates recommended include the following:

• Latent Tuberculosis Infection in Adults: Screening (Revised May 2023)
• Depression and Suicide Risk in Adults: Screening (Revised June 2023)
• Anxiety Disorders in Adults: Screening (Revised June 2023)
• Folic Acid Supplementation to Prevent Neural Tube Defects: Preventive Medication (Revised August 2023)
• Prevention of Acquisition of HIV: Preexposure Prophylaxis (Revised August 2023)
• Hypertensive Disorders of Pregnancy: Screening (Revised September 2023)
• Breast Cancer Screening (Revised April 2024)
• Falls Prevention in Community-Dwelling Older Adults: Interventions (Revised June 2024)
• Osteoporosis to Prevent Fractures: Screening (Revised January 2025)
• Breastfeeding: Primary Care Behavioral Counseling Interventions (Revised April 2025)

Adult Vision Screening

Molina Healthcare has adopted the guideline for Adult Vision Screening from the American Optometric Association.

The Clinical Practice Guideline may be accessed HERE.

Published: January 2023

Revised: N/A

Molina approved: January 2025

Dental Health

Molina Healthcare has adopted the guideline for Dental Health from The American Dental Association (ADA).

The Clinical Practice Guideline may be accessed HERE.

Published: N/A

Revised: N/A

Molina approved: January 2025

Fall Risk Reduction

Molina Healthcare has adopted the guideline for Fall Risk Reduction from the Centers for Disease Control and Prevention (CDC)- Stopping Elderly Accidents, Deaths, & Injuries (STEADI) Initiative.

The Clinical Practice Guideline may be accessed HERE.

Published: N/A

Revised: N/A

Molina approved: May 2025

Pediatric Preventive Services Recommendations

Molina Healthcare has adopted the guideline for Preventive Pediatric Health Care from Bright Futures/American Academy of Pediatrics.

The Clinical Practice Guideline may be accessed HERE.

Published: 2013

Revised: June 2024

Molina approved: January 2023, April 2023, February 2024, January 2025

Recent updates recommended include the following:

No current updates

Molina Healthcare has adopted the guideline for Pediatric/Adolescent Preventive Services Recommendations from U.S. Preventive Services Task Force.

The Clinical Practice Guideline may be accessed HERE.

Published: 2013

Revised: June 2024

Molina approved: August 2024, July 2024, January 2025 

Recent updates recommended include the following:

• High Body Mass Index in Children and Adolescents: Interventions (Revised June 2024)

You may also visit the Healthy Children web site for more information. HERE.

Pediatric Vision Screening

Molina Healthcare has adopted the guideline for Pediatric Vision Screening from the American Optometric Association.

The Clinical Practice Guideline may be accessed HERE.

Published: February 2017

Revised: N/A

Molina approved: January 2025

Recommended Adult Immunization Schedule for ages 19 Years or Older, United States, 2025

Molina Healthcare has adopted the guideline for Adult Immunization Schedule, 19 Years and Older, 2025 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed HERE.

Published: December 2014

Revised: November 2024

Molina approved: January 2023, February 2023, February 2024, April 2024, July 2024, October 2024, January 2025

Recent updates recommended include the following:

No current updates

Recommended Child and Adolescent Immunization Schedule for ages 18 Years and Younger, United States, 2025

Molina Healthcare has adopted the guideline for Recommended Child and Adolescent Immunization Schedule for ages 18 years and younger, 2025 from Centers for Disease Control and Prevention.

The Clinical Practice Guideline may be accessed HERE.

Published: December 2014

Revised: November 2024

Molina approved: January 2023, February 2023, February 2024, July 2024, October 2024, January 2025

Recent updates recommended include the following:

No current updates