Central Health Medicare Plan

Prior authorization

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

prior authorization

Outpatient prior authorization — Medicare

Official page read
Phone800-665-3086Fax

844-251-1450

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Molina Medicare Q2 2026 PA guide hosted on the CHP site; Availity portal preferred. Use the PA look-up tool for code requirements.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Inpatient authorization (including behavioral health)

Official page read
Phone800-665-3086Fax

844-834-2152

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Inpatient and behavioral health inpatient authorizations.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Post-acute authorization (SNF, LTAC, acute rehab)

Official page read
Phone800-665-3086Fax

833-912-4454

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. All post-acute requests.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

fax prior auth

Part B healthcare-administered drug authorizations

Official page read
Phone

No phone listed for this route

Fax

800-391-6437

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Medical-benefit (Part B) drug requests.

View source ↗ · Source checked 2026-10-24

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prior authorization

Advanced imaging authorizations

Official page read
Phone855-714-2415Fax

877-731-7218

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Advanced imaging requests.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Transplant authorizations

Official page read
Phone855-714-2415Fax

877-813-1206

Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Transplant requests.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

prior authorization

Peer-to-peer review requests

Official page read
Phone866-425-0786Published hours

Not published in this record

Product, plan and location

medicare advantage
California

Mailing address

Not researched for this route

Central Health Medicare Plan (Molina-operated) Medicare Advantage. The plan states all Medicare coverage ends December 31, 2026; use for 2026 dates of service and run-out. Peer-to-peer line listed for inpatient, post-acute and outpatient denials.

View source ↗ · Source checked 2026-10-24

Report an update
Wait time: not establishedBest time from caller reports: not established. Published hours are not a wait forecast.

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Call preparation · editorial guide

Make the call count.

Locate authorization teams and submission faxes. Medical, pharmacy and delegated reviews can follow different routes.

Have ready in your secure workspace

  • Ordering and rendering provider details
  • Service codes, requested dates and units
  • Existing authorization or submission reference

Questions to resolve

  • Is this the correct reviewer for this service and product?
  • Which documents are missing, and where should they be sent?
  • What is the case number and next status-check date?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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