Molina Healthcare of Ohio, Inc Prior Authorization Request Form Prior Authorization Request Form 2025

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.
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Is prior authorization required in emergency situations? No, prior authorization is not required if you have an emergency and need medication. However, coverage for emergency medical costs are subject to the terms of your health plan.
California: 1(866) 508-6445. Florida: 1(866) 236-8531. Illinois: 1(855) 365-8112.
If you need special care that your PCP cannot give, he or she will refer you to a specialist. Getting a referral from your PCP is not required, but it ensures all your providers know your health care goals and plans.
Prior authorizations are usually only required for more costly, involved treatments where an alternative is available. For instance, if a physician prescribes an invasive procedure such as orthopedic surgery, it will likely require preauthorization.
0:26 4:27 Some durable medical equipment like hospital beds or electric wheelchairs. For the best outcomes theMoreSome durable medical equipment like hospital beds or electric wheelchairs. For the best outcomes the prior authorization. Process should start with your provider.
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People also ask

Only your provider can request a prior authorization to Molina Healthcare. You cannot request one. This is done to make sure that you get the right care. You need a prior authorization to make sure that the care and services you receive are medically necessary.
Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.

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