Molina rewards program 2022-2026

1. Click ‘Get Form’ to open the Molina Rewards Program 2022 in the editor.
2. Begin by entering the member's information, including their name, date of birth, and Medicaid ID numbers. Ensure that the email address is accurate as it is required for reward notifications.
3. Indicate the preferred method of receiving rewards by checking the appropriate box and providing a valid mailing address if necessary.
4. Fill in the provider's information, including their name, phone number, clinic location, and NPI. This section is crucial for verification purposes.
5. Complete the health screening sections by entering dates for well-child checkups and immunizations as applicable. Make sure to follow the guidelines for each category to ensure eligibility for rewards.
6. Review all entered information for accuracy before submitting. You can easily save or export your completed form directly from our platform.

Start filling out your Molina Rewards Program 2022 form online for free today!