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MOLINA HEALTHCARE MEDICAID PRIOR AUTHORIZATION/PRESERVICE REVIEW GUIDE EFFECTIVE: 03/01/2023 REFER TO MOLINA PROVIDER WEBSITE OR PRIOR AUTHORIZATION LOOKUP TOOL/MATRIX FOR SPECIFIC CODES THAT REQUIRE
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How to fill out molina healthcare authorizationpre-service review

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How to fill out molina healthcare authorizationpre-service review

01
Contact Molina Healthcare to request for an authorization/pre-service review form.
02
Fill out the form completely with accurate and detailed information about the requested procedure or treatment.
03
Attach any necessary supporting documents such as medical records or test results.
04
Submit the completed form and documents to Molina Healthcare either online, by mail, or through fax as directed.
05
Wait for Molina Healthcare to review the request and provide a decision on whether the authorization for the requested service is approved or denied.

Who needs molina healthcare authorizationpre-service review?

01
Patients who are covered by Molina Healthcare insurance and are seeking approval for a specific medical procedure or treatment would need to go through the authorization/pre-service review process.
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Molina healthcare authorization pre-service review is a process where Molina Healthcare evaluates and approves requests for certain medical services before they are provided.
Providers, facilities, and members may be required to file Molina Healthcare authorization pre-service review depending on the type of medical service being requested.
To fill out Molina Healthcare authorization pre-service review, the requester must provide all required information, including details about the medical service being requested, medical necessity, and any supporting documentation.
The purpose of Molina Healthcare authorization pre-service review is to ensure that medical services are medically necessary, appropriate, and meet the outlined criteria for coverage.
The information reported on Molina Healthcare authorization pre-service review may include member information, provider details, medical service requested, medical necessity documentation, and any relevant clinical information.
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