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Welcome Molina Medicare Providers

Contracted providers are an essential part of delivering quality care to our members. We value our partnership and appreciate the family-like relationship that you pass on to our members.

As our partner, assisting you is one of our highest priorities. We welcome your feedback and look forward to supporting all your efforts to provide quality care.

Provider Manuals icon PDF

*Provider manuals for Florida and Ohio are currently unavailable.

HIPAA icon PDF

EDI

2010 Prior Authorization Forms icon PDF

Medical

Rx

Guidelines icon PDF

Clinical Practice Guidelines

Preventive Health Guidelines

Health Resources icon PDF

Medical Record Standards
Quality Improvement

HEDIS/CAHPS

*HEDIS rates for Florida are currently unavailable.

Formulary icon PDF

2010 Comprehensive Formulary
2010 Utah Healthy Advantage Comprehensive Formulary

Policies icon PDF

Member Rights & Responsibilities
Provider Rights & Responsibilities
Advance Directives
Credentialing Rights
Fraud Prevention
Patient Safety

Services icon PDF

Utilization Management
Behavioral Health
Case Management
Disease Management
Coordination of Care
Health Promotion
Nurse Advice

Care for Diverse Populations icon PDF

Communications icon PDF