Select your State and Language
Find out if you can become a member of the Molina family. Pick your state and your preferred language to continue.
Cookies
We use cookies on our website. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. Read more
Find helpful resources, plan materials, payment information and more. Enter a query above to search our website.
Categories
Email this page
Thank You!
Your message has been sent.
Unable to send email, contact IT Support Team
Select your plan to look up covered drugs
Please note that these links will take you to an external website.
Select your plan year to find a pharmacy
Thank you!
Tell Us what You Think..
We appreciate your feedback about our website.
Rate This Page
Overall Satisfaction with this Website
Ease of Use
Information
Almost There… Let us help you enroll today!
We've received your information and a representative will be in touch with you shortly.
{80692560-8A36-43CB-8836-C57F3A6E0584}
Unable to process request temporarily
*This is a solicitation for insurance and an agent may contact you.
By providing your email address, you are opting to receive health plan information and marketing email communications. You can unsubscribe at any time.
The Availity Essentials portal provides access to all portal functions.
Getting Started
Make a Payment
Forms and Documents
When can you Enroll?
FAQ
2024 Marketplace Provider Manual
Prior Authorization LookUp Tool
Authorization Reconsideration Form
Molina Healthcare Prior Authorization Request Form and Instructions
Medicaid and Marketplace: Updated Q4 2024 PA Code Change with 12/1 Evolent Codes Impacted
Medicaid: Q4 2024 PA Code Changes
Medicare and MMP: Q4 2024 PA Code Changes
Marketplace: Q4 2024 PA Code Changes
Medicaid: Updated Q3 2024 PA Code Change with 9/1 Evolent Codes
Marketplace: Updated Q3 2024 PA Code Change with 9/1 Evolent Codes
Medicaid: Q3 2024 PA Code Changes
Medicare and MMP: Q3 2024 PA Code Changes
Marketplace: Q3 2024 PA Code Changes
PA Code Lists and Changes Archive
Ohio Urine Drug Screen Prior Authorization (PA) Request Form
Observation Level of Care FAQ
Pain Management Procedures
Corrected Claim Billing Guide
Request for Claim Reconsideration
In-Office Laboratory Test List
In-Office Laboratory Test Archive
Well Care-OB/GYN Service Coding Guide
Return of Overpayment
No Surprises Act - Independent Dispute Resolution Form (Non-Contracted Providers only)
Synagis (RSV) Authorization
Home Health Prior Authorization Quick Tips
Pharmacy Universal Claim Form
Prior Authorization Request Form
Marketplace Authorization and Claim Reconsideration Guide
PAC Provider Intake Form
Endometrial Ablation Procedures
How to Submit Quick Claim - Atypical Provider
Ohio Provider Contract Request Form *
*For first-time providers wanting to contract with Molina Healthcare of Ohio (MHO), or for existing MHO providers wanting to add a new product to their contract.
Provider Information Form
CAQH Provider Data Form
Ownership and Control Disclosure Form
Availity Essentials Overview