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Molina Healthcare Prior Authorization Request Form MEMBER INFORMATION Molina MedicaidOutpatientFax: (866) 4496843Molina Medicaid Molina Medicare/InpatientMyCare Ohioan: (866) 5539219 Fax: (877) 7082116Member
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Molina Healthcare Radiology Prior is a process that requires authorization before receiving radiology services.
Healthcare providers and facilities are required to file Molina Healthcare Radiology Prior authorization before providing radiology services.
To fill out Molina Healthcare Radiology Prior, healthcare providers need to submit a request online through the Molina Healthcare portal or by fax.
The purpose of Molina Healthcare Radiology Prior is to ensure that radiology services are medically necessary and appropriate for the patient's condition.
Healthcare providers must report the patient's medical history, diagnosis, requested radiology service, and reasons for the service on Molina Healthcare Radiology Prior.
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