2026 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 Outcomes Committee (QI-HOC), providers are notified of any changes via fax and/or mail.
To request a copy of any guideline, please contact Molina Healthcare Provider Services at IAProviderRelations@MolinaHealthcare.com.
The guidelines listed below were reviewed and adopted by the Quality Improvement and Health Outcomes Committee (QI-HOC), with approval dates indicated for 2024 and beyond. All guidelines undergo quarterly 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: June 2025
Molina approved:April 2024, May 2024, January 2025, May 2025, August 2025
Recent updates recommended include the following:
- Intimate Partner Violence and Caregiver Abuse of Older or Vulnerable Adults: Screening (June 2025)
- Syphilis Infection During Pregnancy: Screening (Revised May 2025)
- Breastfeeding: Primary Care Behavioral Counseling Interventions (Revised April 2025)
- Osteoporosis to Prevent Fractures: Screening (Revised January 2025)
- Falls Prevention in Community-Dwelling Older Adults: Interventions (Revised June 2024)
- Breast Cancer Screening (Revised April 2024)
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: February 2025
Molina approved: February 2024, January 2025, February 2026
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 (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
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: August 2025
Molina approved: February 2024, April 2024, July 2024, October 2024, January 2025, August 2025, October 2025
Recent updates recommended include the following:
- Updated Influenza vaccine recommendations (July 2025)
- Updated Meningococcal and RSV vaccine recommendations (June 2025)
Recommended Child and Adolescent Immunization Schedule for ages 18 Years and Younger, United States
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: August 2025
Molina approved: February 2024, July 2024, October 2024, January 2025, August 2025, October 2025
Recent updates recommended include the following:
- Updated RSV vaccine recommendation (August 2025)
- Updated Influenza vaccine recommendation (July 2025)
- Updated Meningococcal vaccine recommendation (June 2025)