MedicaidPrior AuthHigh impact
Provider Bulletin 08-25-2025 Important Update Regarding Prior Authorization Submissions IM IE LA OC SAC SD
Molina Healthcare·CA·Prior Authorization
Effective date
Sep 20, 2025
We identified it
Jun 19, 2026
Summary
Molina Healthcare of California will require clinical records and supporting documentation to be attached to all prior authorization requests starting September 20, 2025. Requests submitted without the required documentation will be blocked from submission in their system.
Action Required
By September 20, 2025: Billing team and providers must begin attaching clinical records and supporting documentation specific to each prior authorization request submitted to Molina Healthcare of California. Update prior authorization workflow to include gathering relevant clinical records before submission. Failure to include required documentation will result in blocked submissions and delayed approvals.