Authorizations

  • Requesting Prior Authorization

    Notwithstanding any provision in the Provider Agreement that requires Provider to obtain a prior authorization directly from Molina, Molina may choose to contract with external vendors to help manage prior authorization requests.

    For additional information regarding the prior authorization of specialized clinical services, please refer to the prior authorization tools:

     

    Availity Essentials portal: Participating Providers are encouraged to use the Availity Essentials portal for prior authorization submissions whenever possible. Instructions for how to submit a prior authorization request are available on the Availity Essentials portal. The benefits of submitting your prior authorization request through the Availity Essentials portal are:

    • Create and submit Prior Authorization Requests.
    • Check status of Authorization Requests.
    • Receive notification of change in status of Authorization Requests.
    • Attach medical documentation required for timely medical review and decision making.

    Fax: The Prior Authorization Request Form can be faxed to Molina at: (833) 832-1015.

    Phone: Prior authorizations can be initiated by contacting Molina’s Healthcare Services department at (844) 782-2678. It may be necessary to submit additional documentation before the authorization can be processed.