Molina Prior Authorization Form Templates
Molina Prior Authorization Forms are used to request approval from Molina Healthcare for certain medical services, procedures, or medications. The purpose of these forms is to ensure that the requested healthcare services or medications meet the necessary criteria for coverage and are medically necessary.
Documents:
2
This form is used for requesting prior authorization for drugs through Molina Healthcare.
PDF 
Word
This Form is used for obtaining prior authorization for behavioral health services from Molina Healthcare in Ohio.
