MedicaidPrior AuthMedium impact
Q1 2022 Provider Newsletter
Molina Healthcare·NY·Provider Newsletter
We identified it
Jun 19, 2026
Summary
Molina Healthcare's Q1 2022 newsletter emphasizes prior authorization requirements for specific services across all lines of business and provides quality improvement results. All providers must use the PA Code Matrix, PA Guide, and PA Code Lookup Tool to determine which services require prior authorization before submission.
Action Required
Immediately: Billing team must access Molina's PA Code Lookup Tool at MolinaHealthcare.com to verify prior authorization requirements for all services before submission. Use the Provider Portal at availity.com/molinahealthcare for most efficient PA submissions. Include all clinical documentation (current patient history, physical exam, relevant lab/radiology results) to support medical necessity. Failure to obtain required prior authorizations may result in claim denials.