Molina Healthcare

Prior authorization

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

prior authorization

Molina Healthcare of Illinois — Evolent oncology and cardiology PA

Official page read
Phone888-999-7713Published hours

Not published in this record

Product, plan and location

medicaid
Illinois

Mailing address

Not researched for this route

Menu guidance in the source record

1 Medical Oncology; 2 Radiation Oncology; 3 Cardiology

Menus can change. No live call verification is claimed.

Evolent phone options: Medical Oncology 1, Radiation Oncology 2, Cardiology 3. Molina is digital-first; Availity preferred for PA.

View source ↗ · Source checked 2026-10-24

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

prior authorization

Molina Healthcare of Florida utilization management — Medicaid MMA/LTC

Official page read
Phone855-322-4076Fax

866-440-9791

Published hours

Monday to Friday, 8 AM to 5 PM

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Menu guidance in the source record

Press 1 for authorization status (October 2026 resource guide)

Menus can change. No live call verification is claimed.

Medical and behavioral inpatient/outpatient authorizations including home health, IV infusion, DME and hospice. Marketplace UM fax: 833-322-1061.

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

fax prior auth

Molina Healthcare of Florida utilization management fax — Marketplace

Official page read
Phone855-322-4076Fax

833-322-1061

Published hours

Not published in this record

Product, plan and location

exchange
Florida

Mailing address

Not researched for this route

UM fax for Molina Marketplace (MP) members in Florida.

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

Molina Healthcare of Florida DME, home health and IV infusion — Coastal Care Services (MMA)

Official page read
Phone855-481-0505Published hours

Monday to Friday from 8:30 AM to 5:30 PM

Product, plan and location

medicaid · exchange
Florida

Mailing address

Not researched for this route

MMA-only members (and Marketplace per the QRG vendor list); comprehensive/LTC members go through Molina UM at 855-322-4076.

View source ↗ · Source checked 2026-10-24

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

prior authorization

Molina Healthcare of Florida cardiology and oncology prior authorization — Evolent

Official page read
Phone888-999-7713Published hours

8am to 8pm EST

Product, plan and location

medicaid
Florida

Mailing address

Not researched for this route

Evolent Specialty Services prior authorization for cardiology, medical oncology and radiation oncology.

View source ↗ · Source checked 2026-10-24

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

prior authorization

California Medi-Cal prior authorization

Official page read
Phone844-557-8434Fax

800-811-4804

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Medi-Cal prior authorization requests for Molina-managed members (Availity and 278 transactions also accepted). Advanced imaging and transplants have separate published numbers.

View source ↗ · Source checked 2026-10-24

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

prior authorization

California inpatient authorization and census

Official page read
Phone866-814-2221Fax

866-553-9263

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Healthcare Services inpatient notifications, census and concurrent review.

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

California emergency department support unit (post-stabilization)

Official page read
Phone844-966-5462Fax

877-665-4625

Published hours

Not published in this record

Product, plan and location

medicaid
California

Mailing address

Not researched for this route

Post-stabilization authorization while the member is in the ER. The fax (877-Molina-5) is used exclusively for members currently in the ER.

View source ↗ · Source checked 2026-10-24

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

prior authorization

ConnectiCare (CT) preauthorization program / utilization management

Official page read
Phone800-562-6833Published hours

Not published in this record

Product, plan and location

commercial · exchange · medicare advantage
Connecticut

Mailing address

Not researched for this route

Initiate an authorization or pre-certification; leave a voicemail after hours. For Marketplace and Medicare dates of service on/after Jan. 1, 2026, submit non-vendor PA requests through Availity Essentials with clinical documentation.

View source ↗ · Source checked 2026-10-25

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

fax prior auth

ConnectiCare (CT) Medicare J-code (medical drug) prior authorization fax

Official page read
Phone

No phone listed for this route

Fax

800-391-6437

Medicare J-code PA requests.

Published hours

Not published in this record

Product, plan and location

medicare advantage · dsnp
Connecticut

Mailing address

Not researched for this route

Medicare HCPCS/J-code drug PA requests.

View source ↗ · Source checked 2026-10-25

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prior authorization

ConnectiCare (CT) NICU/maternity — ProgenyHealth

Official page read
Phone888-832-2006Fax

877-847-1708

ProgenyHealth authorization requests.

Published hours

Not published in this record

Product, plan and location

exchange · medicare advantage · dsnp
Connecticut

Mailing address

Not researched for this route

Vendor-managed prior authorization; contact ProgenyHealth directly.

View source ↗ · Source checked 2026-10-25

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

prior authorization

ConnectiCare (CT) spine surgery and interventional pain (Evolent/RadMD)

Official page read
Phone877-607-2363Published hours

Not published in this record

Product, plan and location

commercial
Connecticut

Mailing address

Not researched for this route

Manages spine surgery and interventional pain management program authorizations; online at radmd.com.

View source ↗ · Source checked 2026-10-25

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

prior authorization

ConnectiCare (CT) genetic testing — EviCore

Official page read
Phone888-835-2042Published hours

Not published in this record

Product, plan and location

commercial
Connecticut

Mailing address

Not researched for this route

EviCore genetic testing authorizations for ConnectiCare.

View source ↗ · Source checked 2026-10-25

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

fax prior auth

Molina Healthcare of Washington — Medicaid prior authorization (physical medicine)

Official page read
Phone800-869-7175Fax

800-767-7188

Published hours

8 a.m.–5 p.m. Monday–Friday

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Apple Health (Medicaid) prior authorization requests for physical health services, per the Pre-Service Review Guide effective 01/01/2026.

View source ↗ · Source checked 2026-10-25

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

prior authorization

Molina Healthcare of Washington — radiology authorizations

Official page read
Phone855-714-2415Fax

877-731-7218

Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Radiology prior authorization requests for Apple Health members.

View source ↗ · Source checked 2026-10-25

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

prior authorization

Molina Healthcare of Washington — transplant authorizations

Official page read
Phone855-714-2415Fax

877-813-1206

Published hours

Not published in this record

Product, plan and location

medicaid
Washington

Mailing address

Not researched for this route

Transplant authorization requests.

View source ↗ · Source checked 2026-10-25

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

fax prior auth

Molina (OH) Evolent medical oncology prior authorization fax

Official page read
Phone

No phone listed for this route

Fax

877-230-4493

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Evolent (formerly New Century Health) medical oncology intake for Molina Ohio. Radiation oncology fax 877-380-7848; cardiology intake 714-582-7547. Evolent Network Operations 888-999-7713 option 6 for portal access/training.

View source ↗ · Source checked 2026-10-25

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fax prior auth

Molina (OH) Evolent radiation oncology prior authorization fax

Official page read
Phone

No phone listed for this route

Fax

877-380-7848

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Evolent radiation oncology intake for Molina Ohio.

View source ↗ · Source checked 2026-10-25

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fax prior auth

Molina (OH) Evolent cardiology prior authorization fax

Official page read
Phone

No phone listed for this route

Fax

714-582-7547

Published hours

Not published in this record

Product, plan and location

medicaid
Ohio

Mailing address

Not researched for this route

Evolent cardiology intake for Molina Ohio.

View source ↗ · Source checked 2026-10-25

Report an update

fax prior auth

Molina (OH) MyCare Ohio J-code drug fax

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

dsnp
Ohio

Mailing address

Not researched for this route

Physician-administered (J-code) drug requests for MyCare Ohio.

View source ↗ · Source checked 2026-10-25

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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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